MEDICARE: DR. CARL T TALMO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	223883	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	AA67640	OTHER	MA	HARVARD PILGRIM
3	5695293	OTHER	MA	AETNA
4	J28844	OTHER	MA	BCBS MA
5	462229	OTHER	MA	TUFTS HEALTH PLAN

General Provider Information

NPI Number	:	1881676989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL T TALMO MD

Provider Business Mailing Address
First Line	:	125 PARKER HILL AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02120
Country	:	US
Telephone Number	:	617-754-5474
Fax Number	:	617-754-5473

Provider Business Practice Location Address
First Line	:	125 PARKER HILL AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02120
Country	:	US
Telephone Number	:	617-754-5474
Fax Number	:	617-754-5473

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	07/14/2010

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