Individual
DR. VINCENT J PATALANO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
236 HIGHLAND AVE, SOMERVILLE, MA 02143-1495
(617) 665-4949
Mailing address
236 HIGHLAND AVE, SOMERVILLE, MA 02143-1495
(617) 591-4949
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
76185
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3096343
—
MA
01
—
J12639
BCBSMA
MA
Enumeration date
11/20/2006
Last updated
11/29/2011
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