Provider Demographics
NPI:1164422754
Name:TUFFIASH, WILLIAM A (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:TUFFIASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 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
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-26
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019041E207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01233701OtherCAPITAL BLUE CROSS
PA66355OtherHIGHMARK BLUE SHIELD
PA29227OtherGEISINGER HEALTH PLAN
PA4538955OtherAETNA
PA123404OtherTHREE RIVERS - MED PLUS
PA7066355OtherGATEWAY HEALTH PLAN
PA4538955OtherAETNA
PA066355XD8Medicare PIN