Provider Demographics
NPI:1134351976
Name:TULMAN, YELENA
Entity type:Individual
Prefix:MRS
First Name:YELENA
Middle Name:
Last Name:TULMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 TELEGRAPH HILL RD
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1465
Mailing Address - Country:US
Mailing Address - Phone:732-264-3747
Mailing Address - Fax:
Practice Address - Street 1:200 WILSON AVE
Practice Address - Street 2:
Practice Address - City:PORT MONMOUTH
Practice Address - State:NJ
Practice Address - Zip Code:07758-1228
Practice Address - Country:US
Practice Address - Phone:732-495-0156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02525500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist