Provider Demographics
NPI:1548486244
Name:TURAL PEDIATRICS
Entity type:Organization
Organization Name:TURAL PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:R
Authorized Official - Last Name:TURAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-674-8348
Mailing Address - Street 1:465 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-3315
Mailing Address - Country:US
Mailing Address - Phone:508-674-8348
Mailing Address - Fax:774-365-6615
Practice Address - Street 1:465 WALNUT ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3315
Practice Address - Country:US
Practice Address - Phone:508-674-8348
Practice Address - Fax:774-365-6615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9779191Medicaid
MA9779191Medicaid