Tallon, Carol
Tallon, Carol is an individual health care provider with primary practice located at 725 Concord Ave Ste 1200 , Cambridge MA 02138-1055. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Tallon, Carol can be contacted via phone (617) 503-1000.Contact Information
Primary practice address
725 Concord Ave Ste 1200
Cambridge MA 02138-1055
Phone: (617) 503-1000
Fax: (617) 503-1010
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 131630 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 131630 | Massachusetts |
Profile Details
NPI number | 1316905714 |
---|---|
LBN Legal business name | Tallon, Carol |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2006 |
Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316905714 | NPPES |
Massachusetts | MEDICAID | 0390691 |
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