Ralph E Talbot, Md Pc | |
391 Broadway Suite 304 Everett MA 02149-3470 | |
(617) 381-0555 | |
(949) 955-7321 |
Full Name | Ralph E Talbot, Md Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 391 Broadway, Everett, Massachusetts |
Authorized Official Name and Position | Ralph E Talbot (PRESIDENT) |
Authorized Official Contact | 6173810555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ralph E Talbot, Md Pc 391 Broadway Suite 304 Everett MA 02149-3470 Ph: (617) 381-0555 | Ralph E Talbot, Md Pc 391 Broadway Suite 304 Everett MA 02149-3470 Ph: (617) 381-0555 |
NPI Number | 1518285535 |
---|---|
Provider Enumeration Date | 05/14/2010 |
Last Update Date | 05/14/2010 |
Medicare PECOS PAC ID | 1557495405 |
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Medicare Enrollment ID | O20100816000062 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518285535 | NPI | - | NPPES |
3060624 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 44105 (Massachusetts) | Primary |
Provider Name | Ralph E Talbot |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336160183 PECOS PAC ID: 2567432438 Enrollment ID: I20060407000489 |
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