Individual
EDWARD C TARLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-5100
Mailing address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-5100
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
56942
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002191
—
MA
Enumeration date
10/03/2006
Last updated
11/16/2010
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