NPI 1023337821

Tyler Ross Grenda, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Philadelphia, PA

Practice location

Address: 1100 Walnut St Fl 5, Philadelphia, PA 19107-4944
Phone: (215) 955-6750
Mailing address: 1025 Walnut St STE 607, Philadelphia, PA 19107-5001

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence MD468465 (PA)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Pennsylvania →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence 4301097169 (MI)

Other Student in an Organized Health Care Education/Training Program providers in Pennsylvania →

Registry record

NPI: 1023337821
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2010
Record last updated: 30 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.