Tallman, Mark P

Tallman, Mark P is an individual health care provider with primary practice located at 736 Cambridge St Fl 2 , Brighton MA 02135-2907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Tallman, Mark P can be contacted via phone (617) 789-2344.

Contact Information

Primary practice address
736 Cambridge St Fl 2 Brighton MA 02135-2907
Phone: (617) 789-2344
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 230092 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 191442 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 230092 Massachusetts
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 191442 New York

Profile Details

NPI number 1174518989
LBN Legal business name Tallman, Mark P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Nov 3rd, 2025 - about last year

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 1174518989 NPPES
New York MEDICAID 01573317
New York MEDICAID 2017300
New York MEDICAID 1007068

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