Individual
DR. MICHAEL BLAIR TANTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 BOYLSTON STREET, SUITE 304, CHESTNUT HILL, MA 02467
(617) 505-6818
(617) 505-6813
Mailing address
25 BOYLSTON STREET, SUITE 304, CHESTNUT HILL, MA 02467
(617) 505-6818
(617) 505-6813
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
19264
NH
208200000X
Plastic Surgery Physician
Primary
74194
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3192873
—
MA
Enumeration date
11/03/2005
Last updated
11/30/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us