Ralph J. Tullo, Md, PA

NPI #1134126667 in Maitland, Florida

Provider Information

NPI Number
1134126667
Entity Type
Organization
Organization Name
Ralph J. Tullo, Md, PA
Primary Specialty
Clinic/Center - Radiology, Mammography
Enumeration Date
Jun 30, 2005
Last Updated
Mar 25, 2008

Practice Location

Address
300 N LAKE DESTINY RD
State
Florida
ZIP Code
32751-4103
Phone
(407) 699-6266

Authorized Official

Name
MS. ALICIA TULLO, B.S.N., C.M.S.R.
Title
ADMINISTRATOR/BILLING COORDINATOR
Phone
(407) 699-6266

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Radiology, MammographyRadiology, Mammography

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