MEDICARE: TUZDY LY CURRLIN M.D.

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	261QP2300X	Primary Care Clinic/Center	A105701	CA

General Provider Information

NPI Number	:	1922267251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUZDY LY CURRLIN M.D.

Provider Business Mailing Address
First Line	:	1960 HORSESHOE GLEN CIR
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95630-6293
Country	:	US
Telephone Number	:	916-835-8914
Fax Number	:

Provider Business Practice Location Address
First Line	:	1960 HORSESHOE GLEN CIR
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95630-6293
Country	:	US
Telephone Number	:	210-835-8914
Fax Number	:

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

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	02/14/2011

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