National Provider Identifier
Tyler Normile, PA-C
Tyler Normile, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 724-4100.
Source: public NPPES record, last updated September 30, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1407423908
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 04, 2021
- Last Updated
- September 30, 2021
Practice Location
- 55 Fruit St
- Boston, MA 02114-2621
Phone: (617) 724-4100
Specialties
- Physician Assistant (363A00000X)
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Biography
Tyler Normile, PA-C, is an advanced practice provider on the urology team at Beth Israel Deaconess Medical Center in Boston. He trained at Boston University and, while in the university’s PA program, served as president of the Carl Toney Student Society, the program’s student chapter connected with national PA student leadership and service activities.
Full Record
- NPI
- 1407423908
- Entity Type
- Individual
- Last Name
- Normile
- First Name
- Tyler
- Credential
- PA-C
- Mailing Street Address
- 55 Fruit St
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02114-2621
- Mailing Country
- US
- Mailing Phone
- (617) 724-4100
- Mailing Fax
- (617) 726-7415
- Practice Street Address
- 55 Fruit St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02114-2621
- Practice Country
- US
- Practice Phone
- (617) 724-4100
- Practice Fax
- (617) 726-7415
- Enumeration Date
- June 04, 2021
- Last Updated
- September 30, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 30, 2021
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 0 (MA)