Provider Demographics
NPI:1922267251
Name:CURRLIN, TUZDY LY (MD)
Entity Type:Individual
Prefix:
First Name:TUZDY
Middle Name:LY
Last Name:CURRLIN
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 1:1960 HORSESHOE GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6293
Mailing Address - Country:US
Mailing Address - Phone:916-835-8914
Mailing Address - Fax:
Practice Address - Street 1:1960 HORSESHOE GLEN CIR
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6293
Practice Address - Country:US
Practice Address - Phone:210-835-8914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105701261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care