MEDICARE: MR. TYLER D JOYCE PT, CNP

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	225100000X	Physical Therapist	40QA00906100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	40QA00906100	OTHER	NJ	LICENSE

General Provider Information

NPI Number	:	1174609929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TYLER D JOYCE PT, CNP

Provider Business Mailing Address
First Line	:	800 BUNN DR
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-1968
Country	:	US
Telephone Number	:	609-683-1010
Fax Number	:	609-683-0006

Provider Business Practice Location Address
First Line	:	800 BUNN DR
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-1968
Country	:	US
Telephone Number	:	609-683-1010
Fax Number	:	609-683-0006

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	02/13/2014

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