Individual
DR. MATTHEW ROBERT TULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6331
(410) 328-1674
Mailing address
PO BOX 64374, BALTIMORE, MD 21264-4374
(410) 328-6331
(410) 328-1674
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0074255
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331701300
—
MD
Enumeration date
07/25/2006
Last updated
01/22/2013
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