Provider Demographics
NPI:1083628390
Name:WILLIAM A. TUFFIASH, MD, P.C.
Entity type:Organization
Organization Name:WILLIAM A. TUFFIASH, MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:TUFFIASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-439-8171
Mailing Address - Street 1:1251 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 107C
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6205
Mailing Address - Country:US
Mailing Address - Phone:610-439-8171
Mailing Address - Fax:610-439-8170
Practice Address - Street 1:1251 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 107C
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6205
Practice Address - Country:US
Practice Address - Phone:610-439-8171
Practice Address - Fax:610-439-8170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019041E207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02358100OtherCAPITAL BLUE CROSS
PA2694838000OtherINDEPENDENCE BLUE CROSS
PA7066355OtherGATEWAY HEALTH PLAN
PA1834967OtherHIGHMARK BLUE SHIELD
PA4538955OtherAETNA
PA29227OtherGEISINGER HEALTH PLAN
PA123404OtherUNISON
PAB34764Medicare UPIN
PA118478Medicare PIN