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Organization

MONTREAL INTERNAL MEDICINE ASSOCIATES, PC

Active
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Organization

MONTREAL INTERNAL MEDICINE ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS J DIFULCO M.D. (OWNER)
(770) 938-9761
Entity
Organization

Contact information

Practice address
1462 MONTREAL RD, SUITE 303, TUCKER, GA 30084-6929
(770) 938-9761
(770) 938-6509
Mailing address
1462 MONTREAL RD, SUITE 303, TUCKER, GA 30084-6929
(770) 938-9761
(770) 938-6509

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
06/11/2006
Last updated
10/15/2008
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