| Organization Name: | VARUNA TULI MD LLC |
| NPI Number: | 1023353281 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VARUNA TULI (MD) |
| Mailing Address: | 32 South St Suite No 200 Waltham |
| State: | MA US |
| Postal Code: | 024533594 |
| Phone Number: | 7819963595 |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2012 |
| NPI Last Update Date: | 12/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 217043 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |