Provider Demographics
NPI:1861830002
Name:TULLYVIEW ALLERGY, PC
Entity Type:Organization
Organization Name:TULLYVIEW ALLERGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:NINES
Authorized Official - Last Name:SKORPINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-478-4033
Mailing Address - Street 1:1030 REED AVENUE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610
Mailing Address - Country:US
Mailing Address - Phone:610-478-4033
Mailing Address - Fax:610-374-1115
Practice Address - Street 1:1030 REED AVENUE
Practice Address - Street 2:SUITE 108
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610
Practice Address - Country:US
Practice Address - Phone:610-478-4033
Practice Address - Fax:610-374-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD052300L207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty