Individual provider · Type 1 NPI

Tristan Medina, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1356199244 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-7020 Map

Mailing address

3401 N Broad St Lowr Level
Philadelphia, PA 19140-5103

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356199244

Tristan Medina, MD's National Provider Identifier is 1356199244, issued on May 7, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on May 7, 2024.