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Individual

DR. LISA ANITA TULLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8 TEMPE WICK RD, MENDHAM, NJ 07945-1814
(973) 543-2288
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(973) 656-6280
(973) 290-7495

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA09709600
NJ

Other

Enumeration date
04/30/2008
Last updated
10/11/2021
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