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NPI Code Detail

MEDICARE: MICHAEL MARIO TORTORELLI

MEDICARE: MICHAEL MARIO TORTORELLI
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
1133NN1002XNutrition Education Nutritionist

General Provider Information

NPI Number : 1770820268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL MARIO TORTORELLI
Provider Business Mailing Address
First Line : 763 34TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94121-3431
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 763 34TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94121-3431
Country : US
Telephone Number : 408-315-5594
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2013
Last Update Date : 01/03/2013

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Directions to “ MICHAEL MARIO TORTORELLI ” Practice Location

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