DR. Jose Rivera Tungol, M.D.

NPI #1144222431 in Presque Isle, Maine

Provider Information

NPI Number: 1144222431
Entity Type: Individual
Name: DR. Jose Rivera Tungol, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jun 1, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 181 ACADEMY ST
Address 2: STE 5
City: Presque Isle
State: Maine
ZIP Code: 04769
Phone: (207) 764-0175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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