Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | MT217007 | PA |
NPI | 1346735479 |
---|---|
Provider Name | Dr. Jennifer Tymon |
First Address | Bethlehem, PA 18017-5402 |
Second Address | Bethlehem, PA 18015-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2018 |
Last Update Date | 01/07/2018 |