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Individual

STEVEN M PATALANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
236 HIGHLAND AVE, SOMERVILLE, MA 02143-1495
(617) 665-1347
Mailing address
236 HIGHLAND AVE, SOMERVILLE, MA 02143-1495
(617) 665-1347

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
79376
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1211951
MA
01
J30471
BCBSMA
MA
Enumeration date
11/20/2006
Last updated
12/13/2011
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