Individual
JOSHUA TULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3000
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
026656-01
NY
Other
Enumeration date
08/25/2021
Last updated
09/27/2021
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