Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 72954 | MA |
Y | 2080P0202X | Pediatric Cardiologist | 72954 | MA |
NPI | 1093706988 |
---|---|
Provider Name | Tal Geva |
First Address | Brookline, MA 02446-9135 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 10/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3137635 | (05) | MA |
7500183 | UNITED HEALTHCARE MA (01) | MA |
99073601 | NETWORK HEALTH (01) | MA |
AA9216 | HARVARD PILGRIM (01) | MA |
B20316808 | CIGNA MA (01) | MA |
F34929 | (02) | |
J31193 | BCBS MA (01) | MA |
TG13489 | (05) | RI |