Provider Demographics
NPI:1588089569
Name:TULE, MANJIRI
Entity type:Individual
Prefix:
First Name:MANJIRI
Middle Name:
Last Name:TULE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 COTTAGE PL
Mailing Address - Street 2:APT# 3
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-5751
Mailing Address - Country:US
Mailing Address - Phone:908-309-5039
Mailing Address - Fax:
Practice Address - Street 1:300 SECOND AVENUE
Practice Address - Street 2:STANLEY WING 209
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740
Practice Address - Country:US
Practice Address - Phone:908-309-5039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program