Most Relevant Information
Provider Data
| NPI Number: | 1003035155 |
| Provider Name: | TINA TARTAGLIONE |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN107009L |
Most Important Dates
| Enumeration Date: | 04/25/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2250 HICKORY RD
SUITE 240
PLYMOUTH MEETING
PA
194621047
Practice Location Phone/Fax
| Phone: | 6108341122 |
| Fax: | 6108347525 |
Provider Mailing Location
109 MERION AVE
WEST CONSHOHOCKEN
PA
194282839
Provider Mailing Phone/Fax
| Phone: | 6109410608 |
| Fax: |