Farra, Taline

Farra, Taline is an individual health care provider with primary practice located at 647 E Broadway , South Boston MA 02127-1503. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Farra, Taline can be contacted via phone (617) 823-7534.

Contact Information

Primary practice address
647 E Broadway South Boston MA 02127-1503
Phone: (617) 823-7534
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4097 Massachusetts

Profile Details

NPI number 1740363399
LBN Legal business name Farra, Taline
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 19th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740363399 NPPES
Massachusetts Other 152831 HARVARD PILGRIM HEALTH
Massachusetts Other W16308 HARVARD PILGRIM HEALTH
Massachusetts Other 0014570 HARVARD PILGRIM HEALTH
Massachusetts Other 22-00932 HARVARD PILGRIM HEALTH
Massachusetts Other 38156 HARVARD PILGRIM HEALTH

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