Individual
JACOB EZRA TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01096755A
IN
208800000X
Urology Physician
Primary
036176423
IL
208800000X
Urology Physician
318971-01
NY
Other
Enumeration date
04/09/2018
Last updated
11/10/2025
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