MEDICARE: DR. MICHAEL LORENZO TINGLIN PHARM.D.

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
1	183500000X	Pharmacist	28RI03318600	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598032377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL LORENZO TINGLIN PHARM.D.

Provider Business Mailing Address
First Line	:	80 AUGUSTA ST
Second Line	:
City	:	IRVINGTON
State	:	NJ
Zip	:	07111-3411
Country	:	US
Telephone Number	:	973-489-5237
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 CENTRAL AVE
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-3414
Country	:	US
Telephone Number	:	973-674-0733
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2011
Last Update Date	:	11/22/2011

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