Tully, John
Tully, John is an individual health care provider with primary practice located at 330 Mount Auburn St South 2, Cambridge MA 02138-5502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Tully, John can be contacted via phone (617) 499-5026.Contact Information
Primary practice address
330 Mount Auburn St South 2
Cambridge MA 02138-5502
Phone: (617) 499-5026
Fax: (617) 499-5453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 41188 | Massachusetts |
Profile Details
| NPI number | 1578565974 |
|---|---|
| LBN Legal business name | Tully, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Oct 28th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578565974 | NPPES |
| Massachusetts | MEDICAID | 2060825 |
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