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NPI Code Detail

MEDICARE: DR. LLOYD TINIANOW MD

MEDICARE: DR. LLOYD TINIANOW MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine Physician25MA07964600NJ

General Provider Information

NPI Number : 1114983756
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LLOYD TINIANOW MD
Provider Business Mailing Address
First Line : 219 SUGARTOWN RD
Second Line : APT D204
City : WAYNE
State : PA
Zip : 19087-3070
Country : US
Telephone Number : 610-416-4084
Fax Number :
Provider Business Practice Location Address
First Line : 18 LAUREL RD E
Second Line :
City : STRATFORD
State : NJ
Zip : 08084-1327
Country : US
Telephone Number : 856-346-6208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2006
Last Update Date : 07/08/2007

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