Organization
WILLIAM J. TULLO, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J. TULLO O.D. (OWNER)
(609) 921-6620
Entity
Organization
Contact information
Practice address
301 N HARRISON ST, STE 9B, PRINCETON, NJ 08540-3512
(609) 921-6620
Mailing address
301 N HARRISON ST, STE 9B, PRINCETON, NJ 08540-3512
(609) 921-6620
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
27OA00485801
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004481153
AETNA
NJ
01
—
2035216700013
CIGNA
NJ
Enumeration date
01/06/2009
Last updated
01/06/2009
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