Individual
DR. JOHN MICHAEL TUMOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 SOUTH ST, SUITE 104, SOUTHBRIDGE, MA 01550-4051
(508) 765-0636
(508) 764-4219
Mailing address
100 SOUTH ST, SUITE 104, SOUTHBRIDGE, MA 01550-4051
(508) 765-0636
(508) 764-4219
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
50918
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6176801
—
MA
Enumeration date
08/09/2005
Last updated
02/18/2011
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