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NPI Code Detail

MEDICARE: JOHN G TUMILLO JR. MD

MEDICARE:   JOHN G TUMILLO 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
1174400000XSpecialist25MA06529600NJ
2207L00000XAnesthesiology Physician25MA06529600NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568467058
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN G TUMILLO JR. MD
Provider Business Mailing Address
First Line : 16 N 9TH ST
Second Line :
City : SURF CITY
State : NJ
Zip : 08008-5337
Country : US
Telephone Number : 609-709-5158
Fax Number :
Provider Business Practice Location Address
First Line : 1 HAMILTON HEALTH PL
Second Line :
City : HAMILTON
State : NJ
Zip : 08690-3542
Country : US
Telephone Number : 609-586-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 06/06/2024

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Directions to “ JOHN G TUMILLO JR. MD” Practice Location

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