Provider Demographics
NPI:1124081054
Name:TULI, SUNITA V (MD)
Entity type:Individual
Prefix:
First Name:SUNITA
Middle Name:V
Last Name:TULI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ALFRED ST
Mailing Address - Street 2:BALDWIN PARK II
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-1976
Mailing Address - Country:US
Mailing Address - Phone:781-933-6236
Mailing Address - Fax:
Practice Address - Street 1:7 ALFRED ST
Practice Address - Street 2:BALDWIN PARK II
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-1976
Practice Address - Country:US
Practice Address - Phone:781-933-6236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156878208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA201862OtherHARVARD COMMUNITY HEALTH
MAJ19526OtherBLUE CROSS BLUE SHIELD
MA0808513001OtherCIGNA
MA156878OtherTUFTS HEALTH PLAN
MA3184137Medicaid
MA201862OtherHARVARD COMMUNITY HEALTH