Individual
DR. JULI TOMAINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1352 C ST SE UNIT A, WASHINGTON, DC 20003-2391
(718) 514-0528
Mailing address
1352 C ST SE UNIT A, WASHINGTON, DC 20003-2391
(718) 514-0528
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
248357
NY
2080P0206X
Pediatric Gastroenterology Physician
Primary
036128497
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036128497
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147078
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
06/05/2008
Last updated
10/14/2020
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