Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tyson Family Medical PC

Organization Family Medicine Physician · NPI 1740206226

Tyson Family Medical PC provides Family Medicine Physician services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2831 Tyson Ave
Philadelphia, PA 19149-1415 Not confirmed with CMS for 18 years — call before visiting
Phone: (267) 350-5575
Fax: (215) 624-0874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS005343-L (PA)

Record details

NPI number1740206226
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Pudles — Owner · (267) 350-5575
NPI enumeratedJuly 15, 2006
Last updated in NPPESNovember 12, 2007
Mailing address2831 Tyson Ave, Philadelphia, PA 19149-1415

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