Provider Demographics
NPI:1356544498
Name:TULLOCH-REID, MARSHALL KERR (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:KERR
Last Name:TULLOCH-REID
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 NICKS AVENUE
Mailing Address - Street 2:
Mailing Address - City:ACADIA
Mailing Address - State:KINGSTON
Mailing Address - Zip Code:8
Mailing Address - Country:JM
Mailing Address - Phone:876-924-1124
Mailing Address - Fax:876-927-2984
Practice Address - Street 1:EPIDEMIOLOGY RESEARCH UNIT, TMRI
Practice Address - Street 2:THE UNIVERSITY OF THE WEST INDIES
Practice Address - City:MONA
Practice Address - State:KINGSTON
Practice Address - Zip Code:7
Practice Address - Country:JM
Practice Address - Phone:976-927-2471
Practice Address - Fax:876-927-2984
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2022-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD459915207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD459915OtherLICENSE
AZ29712OtherLICENSE