Individual
DR. MARK JUDE TRAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
2220 LYNN RD STE 303, THOUSAND OAKS, CA 91360-8003
(805) 495-6702
(805) 495-6195
Mailing address
2220 LYNN RD STE 303, THOUSAND OAKS, CA 91360-8003
(805) 495-6702
(805) 495-6195
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G88591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075926
TUFTS HEALTH PLAN
MA
05
—
1447232731
—
CA
05
—
3070867
—
MA
01
—
J12897
BCBS MA
MA
Enumeration date
11/14/2005
Last updated
11/03/2022
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