Organization
TALLMAN EYE BIDCO
Active
Parent organization
TALLMAN EYE ASSOCIATES, PC
Other names
Tallman Eye BIDCO
Organization subpart
Yes
Provider details
NPI number
Legal business name
TALLMAN EYE ASSOCIATES, PC
Authorized official
CYNTHIA DEANGELIS M.D. (PARTNER/OWNER)
(978) 688-6182
Entity
Organization
Contact information
Practice address
360 MERRIMACK ST, BLDG 9, ENTRANCE I, LAWRENCE, MA 01863-1764
(978) 688-6182
(978) 689-0731
Mailing address
360 MERRIMACK ST, BLDG 9, ENTRANCE I, LAWRENCE, MA 01863-1764
(978) 688-6182
(978) 689-0731
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9713735
—
MA
01
—
M12639
MEDICARE GROUP
MA
Enumeration date
10/25/2010
Last updated
05/13/2025
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