Individual
TUTASI K WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 WASHINGTON ST STE 210, NORTH EASTON, MA 02356-1011
(508) 894-8750
(508) 894-8752
Mailing address
680 CENTRE ST, CREDENTIALING DEPARTMENT, BROCKTON, MA 02302-3308
(508) 941-7009
(508) 583-2515
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
205083
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110540
—
MA
Enumeration date
07/13/2006
Last updated
05/22/2015
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