Healthcare Provider Details

I. General information

NPI: 1477506798
Provider Name (Legal Business Name): ANTHONY TUFARO M.D., D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # A60
CLEVELAND OH
44195-5417
US

IV. Provider business mailing address

800 STANTON L YOUNG BLVD STE 8300
OKLAHOMA CITY OK
73104-5018
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2501
  • Fax: 216-444-9419
Mailing address:
  • Phone: 405-271-2220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberD53606
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number35.142873
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: