Individual provider · Type 1 NPI

Brian Clancy Tulloh, PA-C

Physician Assistant · South Portland, ME

NPI number 1972213148 Active

Practice location

265 Western Ave Ste 2
South Portland, ME 04106-2458

Call (207) 661-0200 Map

Fax (207) 661-0299

Other practice locations

  • 1 Medical Center Dr, Lebanon, NH 03756-0001 · (603) 650-5000
  • 450 Brookline Ave, Boston, MA 02215-5418 · (617) 632-4524
  • 27 Industrial Ave Ste 101, Sanford, ME 04073-5846 · (207) 459-1666
  • 3073 White Mountain Hwy, North Conway, NH 03860-7101 · (603) 356-4904

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2930 (ME)
Physician Assistant 363A00000X2961 (NH)
Physician Assistant 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

23 other providers at this address

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About NPI 1972213148

Brian Clancy Tulloh, PA-C's National Provider Identifier is 1972213148, issued on Nov 29, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Portland, ME. The record was last updated on Sep 3, 2025.