Barry M Tice, PAC
NPI #1437150919 in Emmaus, Pennsylvania
Provider Information
- NPI Number
- 1437150919
- Entity Type
- Individual
- Name
- Barry M Tice, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- PAC
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 619 DALTON ST
- City
- Emmaus
- State
- Pennsylvania
- ZIP Code
- 18049-3031
- Phone
- (610) 967-3646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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