MR. Benjamin C. Tyau, PA-C

NPI #1992076111 in Brunswick, Maine

Provider Information

NPI Number: 1992076111
Entity Type: Individual
Name: MR. Benjamin C. Tyau, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 19, 2012
Last Updated: Jun 20, 2019

Practice Location

Address: 193 BATH RD
City: Brunswick
State: Maine
ZIP Code: 04011
Phone: (207) 424-2272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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