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Individual

DR. THOMAS ANTHONY CIULLA

Active
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Individual

DR. THOMAS ANTHONY CIULLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01045105A
IN
207WX0107X
Retina Specialist (Ophthalmology) Physician
01045105A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000219802
ANTHEM
IN
05
200374230B
IN
05
200374230C
IN
05
200374230D
IN
01
38-2642669
38-3642669
IN
Enumeration date
06/02/2005
Last updated
06/19/2025
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