National Provider Identifier Database

JOHN P DETULLIO, M.D., F.C.C.P. – NPI #1184738940
Pulmonary Disease

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Contact Information

JOHN P DETULLIO, M.D., F.C.C.P.
901 W MAIN ST
SUITE 160, CN 5050
FREEHOLD TOWNSHIP, NJ  07728-2537
Phone: 732-577-0600
Fax: 732-577-6332
Website:
Specialty Taxonomy Code
* Pulmonary Disease 207RP1001X

* Indicates primary specialty

NPI Profile & details for JOHN P DETULLIO

NPI Number 1184738940
Credentials M.D., F.C.C.P.
Entity Individual
Enumeration date 08/18/2006
Last updated 11/04/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MA04345700
  • NJ Medicaid: 1431005
  • NJ Other: 4093697 AETNA
  • NJ Other: 41014 AETNA
  • NJ Other: F00797 HEALTH NET OF NJ
  • NJ Other: 110098315 MEDICARE RAILROAD
  • NJ Other: MS044 OXFORD
  • NJ Other: 223019073-002 QUALCARE
  • NJ Other: 223019073-002 ST. BARNABAS HEALTH PLAN
  • NJ Other: 223019073 TAX IDENTIFICATION NUMBER
  • NY Other: 03F88 EMPIRE BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JOHN P DETULLIO, M.D., F.C.C.P.

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