Individual
SAMIR R TULEBAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
233039
MA
208M00000X
Hospitalist Physician
Primary
233039
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086035A
—
MA
Enumeration date
05/31/2006
Last updated
08/08/2013
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