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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIA ROSE WISDO

Active

TIA ROSE WISDO is a Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1427642263 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PHILADELPHIA, PA

Registration Details

NPI Number
1427642263
Provider Type
Individual
Gender
Female
NPI Issued
Feb 23, 2021 (5.466940155161 yrs)
Last Updated
Mar 15, 2022
License
0010-12070 (NC)

Practice Information

Address
4170 CITY AVE
PHILADELPHIA, PA, 19131
Browse PA providers · Browse ZIP 19131
Phone
2158716100
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PHILADELPHIA, PA

Name Credential NPI
WILLIAM J GLASSMIRE PAC 1154329944
JOHN M. CAVENAGH PA 1649271313
CHRISTINA L CHAMBLEY PA-C 1568463073
BIANCA IVETTE SANTIAGO PA-C 1952385197
SANDRA Q MCCARTHY PA C 1770569311
PAUL D BRADFORD PA-C 1588641435
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.