Provider Demographics
NPI:1588696264
Name:SULKOWSKI, THOMAS E (M D)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:E
Last Name:SULKOWSKI
Suffix:
Gender:M
Credentials:M D
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Mailing Address - Street 1:515 EAST BELL ST.
Mailing Address - Street 2:FAMILY PRACTICE PARTNERS, PC
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-3001
Mailing Address - Country:US
Mailing Address - Phone:615-900-1381
Mailing Address - Fax:615-900-1388
Practice Address - Street 1:1810 WARD DR
Practice Address - Street 2:STE. 101
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0560
Practice Address - Country:US
Practice Address - Phone:615-900-1381
Practice Address - Fax:615-900-1388
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2011-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN20465207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0108070OtherBLUE CROSS
TN20465OtherMD #
TN080189505OtherRAILROAD MEDICARE
TN0108070OtherBLUE CROSS
TN20465OtherMD #