Individual
MARK R TONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, SEATTLE, WA 98195-6166
(206) 598-4615
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00030937
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00030937
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0232068
L&I
WA
05
—
1649360504
—
WA
01
—
2884
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/13/2006
Last updated
01/21/2012
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