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Individual

DR. WILLIAM J TULLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
211 N HARRISON ST, STE. C, PRINCETON, NJ 08540-3530
(609) 921-6620
(609) 921-6628
Mailing address
211 N. HARRISON STREET, STE. C, PRINCETON, NJ 08540
(609) 921-6620
(609) 921-6628

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00485800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
222532697
BLUE SHIELD
NJ
Enumeration date
07/14/2006
Last updated
06/08/2016
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