Tyler Ross Grenda
Cardiothoracic Vascular Surgeon
1100 Walnut St Fl 5
Philadelphia
, Pennsylvania 19107-4944
Tyler Ross Grenda
Cardiothoracic Vascular Surgeon
1100 Walnut St Fl 5
Philadelphia
, Pennsylvania 19107-4944
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Tyler Ross Grenda
- 1025 Walnut St Ste 607
- Philadelphia, PA
- Zip : 19107-5001
- Phone :
Second Address
- Tyler Ross Grenda
- 1100 Walnut St Fl 5
- Philadelphia, PA
- Zip : 19107-4944
- Phone : (215) 955-6750
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD468465 | PA |
National Provider Identifier
| NPI | 1023337821 |
|---|---|
| Provider Name | Tyler Ross Grenda |
| First Address | Philadelphia, PA 19107-5001 |
| Second Address | Philadelphia, PA 19107-4944 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2010 |
| Last Update Date | 30/08/2019 |
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.