MEDICARE: TIFFANY ATTAWAY

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	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1356233647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY ATTAWAY

Provider Business Mailing Address
First Line	:	7244 CASTOR AVE # 1334
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1109
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7244 CASTOR AVE # 1334
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1109
Country	:	US
Telephone Number	:	215-908-8669
Fax Number	:

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

Provider Enumeration Date	:	07/19/2025
Last Update Date	:	05/20/2026

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Directions to “ TIFFANY ATTAWAY ” Practice Location

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