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Individual
THOMAS M PELUSO
Active
Individual
THOMAS M PELUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11945
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073533089
NPI - ATASCADERO
CA
01
—
1275550295
NPI-CHCCC TEMPLETON
CA
01
—
BC021Z
PTAN
CA
01
—
W1508A
MEDICARE GROUP PLAN-TEMPLETON
CA
01
—
W1508C
MEDICARE GROUP PLAN-ATASCADERO
CA
Enumeration date
03/21/2007
Last updated
12/29/2008
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