Tumolo, John Michael

Tumolo, John Michael is an sole proprietor health care provider with primary practice located at 100 South St Suite 104, Southbridge MA 01550-4051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tumolo, John Michael can be contacted via phone (508) 765-0636.

Contact Information

Primary practice address
100 South St Suite 104 Southbridge MA 01550-4051
Fax: (508) 764-4219
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 50918 Massachusetts

Profile Details

NPI number 1720089063
LBN Legal business name Tumolo, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Feb 18th, 2011 - about 13 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 1720089063 NPPES
Massachusetts MEDICAID 6176801

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