Individual
DR. TALINE FARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
647 E BROADWAY, SOUTH BOSTON, MA 02127-1503
(617) 823-7534
Mailing address
647 E BROADWAY, BOSTON, MA 02127-1503
(617) 269-9465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4097
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014570
NEIGHBORHOOD HEALTH PLAN
MA
01
—
152831
HARVARD PILGRIM HEALTH
MA
01
—
22-00932
UNITED HEALTH CARE
MA
01
—
38156
UNICARE
MA
01
—
W16308
BLUE CROSS BLUE SHEILD
MA
Enumeration date
10/24/2006
Last updated
04/19/2016
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