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Individual

DR. EDUARDO DIZON TALUSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
966 PARK ST, SUITE B4, STOUGHTON, MA 02072-3650
(781) 344-1025
(781) 344-1027
Mailing address
966 PARK ST, SUITE B4, STOUGHTON, MA 02072-3650
(781) 344-1025
(781) 344-1027

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
43555
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0150657
MA
Enumeration date
01/25/2007
Last updated
09/28/2013
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