| Tony R Pagliarulo Md | |
|
333 S Bellevue Blvd Memphis TN 38104-3534 | |
| (901) 729-2708 | |
| (901) 729-2720 |
| Full Name | Tony R Pagliarulo Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 S Bellevue Blvd, Memphis, Tennessee |
| Authorized Official Name and Position | Tony R Pagliarulo (PRESIDENT) |
| Authorized Official Contact | 9017292708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tony R Pagliarulo Md Po Box 1000 Dept 252 Memphis TN 38148-0001 Ph: (901) 729-2708 | Tony R Pagliarulo Md 333 S Bellevue Blvd Memphis TN 38104-3534 Ph: (901) 729-2708 |
| NPI Number | 1235180456 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235180456 | NPI | - | NPPES |
| 00111789 | Medicaid | MS | |
| 3074170 | Medicaid | TN | |
| 124822001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD0000024299 (Tennessee) | Primary |
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