Individual
ALEXANDER A. TALARICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
158 KIRKLAND DR, STOW, MA 01775-1079
(781) 789-4168
Mailing address
158 KIRKLAND DR, STOW, MA 01775-1079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2289553
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2289553
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110155130A
—
MA
Enumeration date
03/07/2019
Last updated
12/28/2021
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