Individual
JAMES TULACRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
999 SUMMER ST, 304, STAMFORD, CT 06905-5546
(203) 325-5700
(203) 325-8080
Mailing address
999 SUMMER ST, 304, STAMFORD, CT 06905-5546
(203) 325-5700
(203) 325-8080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000947
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000947
STATE LICENSE
CT
Enumeration date
01/20/2006
Last updated
01/20/2010
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