Provider Demographics
NPI:1497923833
Name:TAMULSKI, THECLA S (MD)
Entity Type:Individual
Prefix:
First Name:THECLA
Middle Name:S
Last Name:TAMULSKI
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 1:51 JOHN ST
Mailing Address - Street 2:APARTMENT #301
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3351
Mailing Address - Country:US
Mailing Address - Phone:716-862-8519
Mailing Address - Fax:
Practice Address - Street 1:V A MEDICAL LEGAL AFFAIRS
Practice Address - Street 2:3495 BAILEY AVENUE
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-862-8519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA52033207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology