Individual
MARK TLUMACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.P.
Contact information
Practice address
45 DALTON RD, HOLLISTON, MA 01746-2416
(508) 429-7758
(508) 429-7614
Mailing address
45 DALTON RD, HOLLISTON, MA 01746-2416
(508) 429-7758
(508) 429-7614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336654
BCBS OF MA
MA
05
—
9786473
—
MA
Enumeration date
07/15/2006
Last updated
07/08/2007
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