Wellington Shelton Tichenor M.D.

NPI 1508871450 - Allergy & Immunology - 207KA0200X

NPI Details
NPI 1508871450
Gender Male
Enumeration Date 07/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
642 PARK AVE
NEW YORK NY, 10021-6105, US
Phone (212) 517-6611
Fax (212) 517-2132
Business Location
642 PARK AVE
NEW YORK NY, 10021-6105, US
Phone (212) 517-6611
Fax (212) 517-2132
Toxanomy
Taxonomy Code 207KA0200X
License State New York
License Number 127559
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According to our database, Dr. Wellington Shelton Tichenor M.D. NPI is 1508871450, taxonomy code is 207KA0200X and license number is 127559, license state is located at New York. Wellington Shelton Tichenor M.D. physically located at 642 Park Ave, New York NY, 10021-6105. NPI Number Wellington Shelton Tichenor M.D. has the Individual type.

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1508871450 NPI number is provided on an as is basis without warranty of any kind. 1508871450 is maintained by the National Plan & Provider Enumeration System. The contents of Wellington Shelton Tichenor M.D. are for informational purposes only.