Dr. Patrick T Tiedeken
Ophthalmologist
1254 Lititz Pike
Lancaster
, Pennsylvania 17601-4340
Dr. Patrick T Tiedeken
Ophthalmologist
1254 Lititz Pike
Lancaster
, Pennsylvania 17601-4340
(717) 397-6687
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Patrick T Tiedeken
- 1254 Lititz Pike
- Lancaster, PA
- Zip : 17601-4340
- Fax : (717) 397-6687
- Phone : (717) 397-4724
Second Address
- Dr. Patrick T Tiedeken
- 1254 Lititz Pike
- Lancaster, PA
- Zip : 17601-4340
- Fax : (717) 397-6687
- Phone : (717) 397-4724
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | MD-025186E | PA |
National Provider Identifier
| NPI | 1013994805 |
|---|---|
| Provider Name | Dr. Patrick T Tiedeken |
| First Address | Lancaster, PA 17601-4340 |
| Second Address | Lancaster, PA 17601-4340 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/12/2005 |
| Last Update Date | 02/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01208917 | (05) | PA |
| 180021953 | MEDICARE RAILROAD (01) | PA |
| E04277 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.