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NPI Code Detail

MEDICARE: DONALD JOSEPH TAMULONIS JR. MD

MEDICARE: DONALD JOSEPH TAMULONIS JR. 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
1204C00000XSports Medicine (Neuromusculoskeletal Medicine) Physician35043841OH
22084N0400XNeurology Physician35043841OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H141360OTHEROHMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073511531
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD JOSEPH TAMULONIS JR. MD
Provider Business Mailing Address
First Line : 1340 BELMONT AVE
Second Line : STE 2200
City : YOUNGSTOWN
State : OH
Zip : 44504-1125
Country : US
Telephone Number : 330-746-7400
Fax Number : 330-746-7436
Provider Business Practice Location Address
First Line : 1340 BELMONT AVE
Second Line : SUITE 2200
City : YOUNGSTOWN
State : OH
Zip : 44504-1125
Country : US
Telephone Number : 330-746-7400
Fax Number : 330-746-7436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 02/06/2017

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