Individual
ANDREW ALBERT TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 S EUTAW ST FL 1, BALTIMORE, MD 21201-1606
(667) 214-1718
(410) 328-6343
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4226
(667) 214-1734
(410) 706-6976
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0097643
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2015
Last updated
06/05/2025
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