NPI Provider: 1063417046
Contact Name: Tarvin E. Michael
Position: Vice President
Phone: (717) 972-1139
Tj Corporation Llc Information:
Tj Corporation Llc organization have npi 1063417046, taxonomy code is 261QP2000X with license number is 5773TG in . This Business address located in 4716 Old Gettysburg Rd., Mechanicsburg, PA 17055 Pennsylvania.
Practice Location
Address: 2569 W Fullerton Ave, Chicago, IL 60647
Phone: (773) 252-4921
Business Location
Address: 4716 Old Gettysburg Rd., Mechanicsburg, PA 17055
Phone: (717) 972-1139
Fax: (717) 975-9981
Taxonomy
Taxonomy Code: 261QP2000X
License Number: 5773TG
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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