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NPI Code Detail

MEDICARE: TALAMO HATCH LASER EYE CONSULTANTS, LLC

MEDICARE: TALAMO HATCH LASER EYE CONSULTANTS, LLC
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
1174400000XSpecialist72615MA

General Provider Information

NPI Number : 1629153994
Entity Type Code : Organization
Provider Name (Legal Business Name) : TALAMO HATCH LASER EYE CONSULTANTS, LLC
Provider Business Mailing Address
First Line : 1601 TRAPELO RD
Second Line : SUITE 184
City : WALTHAM
State : MA
Zip : 02451-7333
Country : US
Telephone Number : 781-890-1023
Fax Number : 781-890-2507
Provider Business Practice Location Address
First Line : 1601 TRAPELO RD
Second Line : SUITE 184
City : WALTHAM
State : MA
Zip : 02451-7333
Country : US
Telephone Number : 781-890-1023
Fax Number : 781-890-2507
Authorized Official
Title or Position : OWNER
Name : DR. JONATHAN H. TALAMO
Credential : MD.
Telephone Number : 781-890-1023
Provider Enumeration Date : 10/26/2006
Last Update Date : 08/13/2012

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Directions to “TALAMO HATCH LASER EYE CONSULTANTS, LLC ” Practice Location

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