| Dr Tola Tsarumi Md Llc | |
|
115 Mill St Belmont MA 02478-1064 | |
| (917) 870-1596 | |
| Not Available |
| Full Name | Dr Tola Tsarumi Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 115 Mill St, Belmont, Massachusetts |
| Authorized Official Name and Position | Omotola Tsarumi (OWNER) |
| Authorized Official Contact | 9178701596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tola Tsarumi Md Llc 50 Conant Rd Weston MA 02493-1604 Ph: (917) 870-1596 | Dr Tola Tsarumi Md Llc 115 Mill St Belmont MA 02478-1064 Ph: (917) 870-1596 |
| NPI Number | 1013620525 |
|---|---|
| Provider Enumeration Date | 12/29/2022 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Medicare PECOS PAC ID | 9739542234 |
|---|---|
| Medicare Enrollment ID | O20230831001189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013620525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Omotola T'sarumi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710369376 PECOS PAC ID: 6507290012 Enrollment ID: I20191216001913 |
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