Organization
CHARLES F. TUFFLI JR M.D. A MEDICAL CORPORATION
Active
Organization
CHARLES F. TUFFLI JR M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES FREDERICK TUFFLI JR. MD (PRESIDENT)
(408) 286-6900
Entity
Organization
Contact information
Practice address
2100 FOREST AVE, SUITE 101, SAN JOSE, CA 95128-1422
(408) 286-6900
(408) 286-6917
Mailing address
2100 FOREST AVE, SUITE 101, SAN JOSE, CA 95128-1422
(408) 286-6900
(408) 286-6917
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
G021128
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G211280
MEDICARE PROVIDER ID
CA
Enumeration date
07/23/2006
Last updated
11/16/2007
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