Ralph J. Tullo, Md, Pa in Maitland - Radiology, Mammography
Ralph J. Tullo, Md, Pa - NPI 1134126667
Ralph J. Tullo, Md, Pa is a Radiology, Mammography in Maitland, Florida. Ralph J. Tullo, Md, Pa practices all healthcare services and medical treatments related to Radiology, Mammography. The NPI Number for Ralph J. Tullo, Md, Pa is 1134126667. The last update date is 2008-03-25.
Ralph J. Tullo, Md, Pa's current location address is 300 North Lake Destiny Road, Maitland, Florida. You can contact this provider via phone number 4076996266 and fax number 4076996266. The mailing address for Ralph J. Tullo, Md, Pa is 300 North Lake Destiny Road, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ralph J. Tullo, Md, Pa |
|---|---|
| Address | 300 North Lake Destiny Road, Maitland, Florida |
| Phone Number | 4076996266 |
| Fax Number | 4076996266 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Tullo Alicia |
| Credentials | B.S.N., C. |
| Telephone Number | 4076996266 |
NPI Number Detail
| NPI Number | 1134126667 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2008-03-25 |
Provider Mailing Address Detail
| Address | 300 North Lake Destiny Road |
|---|---|
| City | Maitland |
| State | Florida (FL) |
| Post Code | 327514103 |
| Phone Number | 4076996266 |
| Fax Number | 4076996266 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology, Mammography |
|---|---|
| Taxonomy | 261Qr0206X |
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Definition: Specializes in breast imaging to screen for and diagnose breast cancer. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 236228 | FL | ACR FACILITY ID NUMBER | |
| 5603 | FL | MAITLAND OCCUPATIONAL LIC |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ralph J. Tullo, Md, Pa by the Centers for Medicare & Medicaid Services?
The Ralph J. Tullo, Md, Pa has been issued the NPI (National Provider Identifier) 1134126667, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ralph J. Tullo, Md, Pa located?
The Ralph J. Tullo, Md, Pa is located at 300 North Lake Destiny Road, Maitland, FL 327514103.
What is the Ralph J. Tullo, Md, Pa's specialty and taxonomy code?
The Ralph J. Tullo, Md, Pa's specialty is Radiology, Mammography, and the corresponding taxonomy code is 261Qr0206X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134126667 to Ralph J. Tullo, Md, Pa?
The Centers for Medicare & Medicaid Services originally issued the 1134126667 to Ralph J. Tullo, Md, Pa on 2005-06-30.
As of what date were the Ralph J. Tullo, Md, Pa's details last updated?
The information pertaining to the Ralph J. Tullo, Md, Pa, including its address, specialty, and other details, was most recently updated on 2008-03-25.