Individual
CAROL TALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 CONCORD AVE STE 1200, CAMBRIDGE, MA 02138-1055
(617) 503-1000
(617) 503-1010
Mailing address
725 CONCORD AVE STE 1200, CAMBRIDGE, MA 02138-1055
(617) 503-1000
(617) 503-1010
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
131630
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
131630
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390691
—
MA
Enumeration date
05/03/2006
Last updated
07/21/2022
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