Tisdale, Avian L.

Tisdale, Avian L. is an individual health care provider with primary practice located at 1925 Pacific Ave. , Atlantic City NJ 08401-6713. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Tisdale, Avian L. can be contacted via phone (609) 441-8087.

Contact Information

Primary practice address
1925 Pacific Ave. Atlantic City NJ 08401-6713
Phone: (609) 441-8087
Fax: (302) 651-4945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA08575900 New Jersey
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25MA08575900 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R7343 Texas

Profile Details

NPI number 1740297076
LBN Legal business name Tisdale, Avian L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Mar 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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