Individual
DR. TERESA L TULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1409 UNIVERSITY DR, SUITE 105, BURLINGTON, NC 27215-8776
(336) 584-5659
(336) 584-4072
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 584-5659
(336) 584-4072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200201320
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136V2
BCBS
NC
01
—
199001
WELLPATH
NC
01
—
200157944
MEDCOST
NC
01
—
7761536
AETNA
NC
05
—
89136V2
—
NC
01
—
P00187745
RAILROAD
NC
Enumeration date
05/20/2006
Last updated
12/03/2012
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