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1659372449

NPI Code Detail

MEDICARE: CHARLES DAVID TULLIUS MD

MEDICARE: CHARLES DAVID TULLIUS 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	207L00000X	Anesthesiology Physician	MD-045423-L	PA

General Provider Information

NPI Number	:	1659372449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES DAVID TULLIUS MD

Provider Business Mailing Address
First Line	:	225 S CENTER AVE
Second Line	:
City	:	SOMERSET
State	:	PA
Zip	:	15501-2033
Country	:	US
Telephone Number	:	800-394-4445
Fax Number	:	706-955-0735

Provider Business Practice Location Address
First Line	:	225 S CENTER AVE
Second Line	:
City	:	SOMERSET
State	:	PA
Zip	:	15501-2033
Country	:	US
Telephone Number	:	800-394-4445
Fax Number	:	706-955-0735

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	06/10/2024

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Directions to “ CHARLES DAVID TULLIUS MD” Practice Location

Language	Start Address	Practice Location

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