Individual
THOMAS S TALAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 WILSON AVE, WASHINGTON, PA 15301-3336
(724) 223-3137
(724) 250-4395
Mailing address
155 WILSON AVE, WASHINGTON, PA 15301-3336
(724) 223-3137
(724) 250-4395
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD022779E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009572090005
—
PA
01
—
071449
HIGHMAR/BLUE SHIELD
PA
01
—
P00039478
PALMETTO GBA
PA
Enumeration date
06/28/2006
Last updated
07/15/2016
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