Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD012233E | PA |
NPI | 1033122080 |
---|---|
Provider Name | Dr. Alan Ralph Tessler |
First Address | Bryn Mawr, PA 19010-1351 |
Second Address | Philadelphia, PA 19104-4551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |