Individual
DR. ANTHONY T TUMOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2466 E 24 ST, BROOKLYN, NY 11235
(718) 743-3213
Mailing address
PO BOX 351134, BROOKLYN, NY 11235-8934
(718) 743-3213
(718) 743-3213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
032434
NY
122300000X
Dentist
51708
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00282935
—
NY
Enumeration date
06/13/2007
Last updated
07/08/2007
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