Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AVIAN L. TISDALE, MD
ActiveDR. AVIAN L. TISDALE, MD is a Pediatrics healthcare provider located in ATLANTIC CITY, New Jersey. NPI 1740297076 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · ATLANTIC CITY, NJ
Registration Details
- NPI Number
- 1740297076
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2006 (20.011342634919 yrs)
- Last Updated
- Mar 18, 2021
- Licenses
-
25MA08575900 (NJ)25MA08575900 (NJ)R7343 (TX)
Practice Information
- Address
-
1925 PACIFIC AVE.ATLANTIC CITY, NJ, 084016713Browse NJ providers · Browse ZIP 08401
- Phone
- 6094418087
- Fax
- 3026514945
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in ATLANTIC CITY, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. EDWIN LOPEZ-BERNARD | MD | 1730147901 |
| DR. CHERYL A KUPONIYI | MD | 1356381198 |
| SUE A. MAH | MD | 1386652154 |
| ALONSO E. CONCHA LEON | MD | 1427149327 |
| DR. ANDREA S. PORTO | D.O. | 1972687085 |
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.