Ethan S Tyree
Ethan S Tyree is a Student in an Organized Health Care Education/Training Program in Vineland, New Jersey. Licensed in New Jersey. Registered with an NPI since 2024.
- Licensed in
- NJ
- In the registry since
- 2024
Practice location Address checks out
1505 W Sherman AveVineland, NJ 08360-7059
Phone: (856) 641-8000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (NJ) |
|---|
Record details
| NPI number | 1649023276 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 11, 2024 |
| Last updated in NPPES | April 11, 2024 |
| Certification date | April 11, 2024 |
| Mailing address | 51 Forrest Hills Dr, Voorhees, NJ 08043-3910 |
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Thu H Truong
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Hetarth Upadhyay, MBBS
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