Individual
TAL GEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-2793
Mailing address
PO BOX 9135, ATT:SHARON SILVA, BROOKLINE, MA 02446-9135
(603) 890-4404
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
72954
MA
2080P0202X
Pediatric Cardiology Physician
Primary
72954
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3137635
—
MA
01
—
7500183
UNITED HEALTHCARE MA
MA
01
—
99073601
NETWORK HEALTH
MA
01
—
AA9216
HARVARD PILGRIM
MA
01
—
B20316808
CIGNA MA
MA
01
—
J31193
BCBS MA
MA
05
—
TG13489
—
RI
Enumeration date
10/31/2005
Last updated
11/10/2020
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