Provider Demographics
NPI:1356415137
Name:TUZZO, SALVATORE ROCCO (MD)
Entity type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:ROCCO
Last Name:TUZZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 HOSPITAL DRIVE
Mailing Address - Street 2:BUILDING 3
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4198
Mailing Address - Country:US
Mailing Address - Phone:650-965-4343
Mailing Address - Fax:650-968-2340
Practice Address - Street 1:2500 HOSPITAL DRIVE
Practice Address - Street 2:BUILDING 3
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4198
Practice Address - Country:US
Practice Address - Phone:650-965-4343
Practice Address - Fax:650-968-2340
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG181612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
A4028Medicare UPIN
00G181610Medicare ID - Type Unspecified