Individual
DR. MARK A TALAMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HST 19 020, STONY BROOK, NY 11794-8191
(631) 444-7875
(631) 444-8947
Mailing address
HST 19 020, STONY BROOK, NY 11794-8191
(631) 444-7875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
272937
NY
208600000X
Surgery Physician
C51961
CA
2086X0206X
Surgical Oncology Physician
C51961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C519610
—
CA
Enumeration date
07/04/2006
Last updated
11/13/2013
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