Samuel J Tilden
Pediatric Critical Care Doctor
1600 7th Ave S
Birmingham
, Alabama 35233-1711
Samuel J Tilden
Pediatric Critical Care Doctor
1600 7th Ave S
Birmingham
, Alabama 35233-1711
(205) 975-2499
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Samuel J Tilden
- 703 Volker Hall
- Birmingham, AL
- Zip : 35294-0001
- Fax : (205) 975-2499
- Phone : (205) 934-3795
Second Address
- Samuel J Tilden
- 1600 7th Ave S
- Birmingham, AL
- Zip : 35233-1711
- Fax : (205) 975-6505
- Phone : (205) 939-9387
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 13951 | AL |
National Provider Identifier
| NPI | 1295764462 |
|---|---|
| Provider Name | Samuel J Tilden |
| First Address | Birmingham, AL 35294-0001 |
| Second Address | Birmingham, AL 35233-1711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2006 |
| Last Update Date | 31/08/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C67227 | (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.