Tulka, Stephen

Tulka, Stephen is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Tulka, Stephen can be contacted via phone (860) 446-8265.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Fax: (860) 448-2543
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 025576 Connecticut

Profile Details

NPI number 1467541128
LBN Legal business name Tulka, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467541128 NPPES
Connecticut MEDICAID 4024972
Connecticut MEDICAID 4041679

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