Individual
ELIZABETH B TARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
(781) 326-5760
Mailing address
PO BOX 9120, DEDHAM, MA 02027-9120
(781) 329-1400
(781) 326-5760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73363
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016052
NEIGHBORHOOD HEALTH PLAN
—
01
—
073363
TUFTS TOTAL HEALTH PLAN
—
01
—
110116275
RAILROAD MEDICARE
—
01
—
27722
CHILDREN'S MED. SECURITY
—
01
—
3069877
MASS.HEALTH(DIV.MEDSVCS)
—
01
—
48-00085
UNITED HEALTHCARE HMO/PPO
—
01
—
5420596
HEALTHSOURCE MASSACHUSETT
—
01
—
5420598
CIGNA HEALTH CARE
—
01
—
61325
HARVARD PILGRIM PPO
—
01
—
E60752
FIRST SENIORITY
—
01
—
J10302
BS-BLUE CARE ELECT
—
Enumeration date
07/19/2005
Last updated
10/07/2011
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