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1942292560

NPI Code Detail

MEDICARE: DR. JONATHAN H TALAMO MD

MEDICARE: DR. JONATHAN H TALAMO 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	207W00000X	Ophthalmology Physician	72615	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
11	CE5062	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	15005	OTHER	MA	PILGRIM
2	769215	OTHER		CONECTICARE
3	92397	OTHER	MA	US HEALTHCARE
4	20721	OTHER		FALLON COMMUNITY HP
5	23909	OTHER		HEALTH NEW ENGLAND
6	18257	OTHER	MD	JOHN HANCOCK
7	719613	OTHER	MA	TUFTS
8	150612	OTHER		HPHC
9	0012728	OTHER	MA	NHP-MA
10	438573	OTHER	MA	AETNA/US HEALTHCARE
12	01599703	OTHER		TRAVELERS
13	043260634	OTHER	MD	CIGNA
14	TAJ10073	OTHER	MA	BCBS-MA
15	0993538	OTHER	MD	AETNA/US HEALTHCARE HMO

General Provider Information

NPI Number	:	1942292560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN H TALAMO MD

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	02/12/2013

Similar Medicare Providers

1265424758 — DR. STEPHANIE A PARIS-WHITNEY O.D.
Practice Location Address:

1601 TRAPELO RD , SUITE 184
WALTHAM, MA
02451-7333

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1518073162 — CORNEA CONSULTANTS
Practice Location Address:

1601 TRAPELO RD , SUITE 184
WALTHAM, MA
02451-7333

Practice Phone: 781-890-7797
Practice Fax: 781-890-2507

1780786780 — MRS. KAREN LISA ZAR OD
Practice Location Address:

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WALTHAM, MA
02451-7333

Practice Phone: 781-890-1023
Practice Fax: 781-890-2507

1629153994 — TALAMO HATCH LASER EYE CONSULTANTS, LLC
Practice Location Address:

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02451-7333

Practice Phone: 781-890-1023
Practice Fax: 781-890-2507

1629322268 — TALAMO LASER EYE CONSULTANTS
Practice Location Address:

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WALTHAM, MA
02451-7333

Practice Phone: 781-890-7797
Practice Fax: 781-890-2507

1295292316 — IRINA BOISCLAIR
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Practice Fax:

Directions to “ DR. JONATHAN H TALAMO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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