MEDICARE: DR. VARUNA TULI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	217043	MA

General Provider Information

NPI Number	:	1558355818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VARUNA TULI MD

Provider Business Mailing Address
First Line	:	10F LOCUST LN
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-1733
Country	:	US
Telephone Number	:	617-924-7046
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 WARREN ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02135-3602
Country	:	US
Telephone Number	:	617-254-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	07/08/2007

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