Bou-Harb, Talal J

Bou-Harb, Talal J is an individual health care provider with primary practice located at 118 W Main St , Spencer MA 01562-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bou-Harb, Talal J can be contacted via phone (508) 885-3025.

Contact Information

Primary practice address
118 W Main St Spencer MA 01562-2621
Phone: (508) 885-3025
Fax: (508) 885-4090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 80602 Massachusetts

Profile Details

NPI number 1508830522
LBN Legal business name Bou-Harb, Talal J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508830522 NPPES
Other 043058466002 TRICARE
Other 110166307 TRICARE
Other 784247 TRICARE
Other AA1196 TRICARE
Other J16105 TRICARE
Other 5098641 TRICARE
Other J16105 TRICARE
Other 042472266 TRICARE
Other J16105 TRICARE
Other 043058466 TRICARE
Other 872046 TRICARE
Other 0401738 TRICARE
Other 042472266 TRICARE
Other 2017162 TRICARE
MEDICAID 3137201 TRICARE
Other 042472266 TRICARE
Other 2017162 TRICARE
Other 33751 TRICARE

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