| Gregory Talalayevsky, Md Pc | |
|
1272 Hyde Park Ave Num 74 Hyde Park MA 02136-2702 | |
| (617) 364-6221 | |
| (617) 272-3640 |
| Full Name | Gregory Talalayevsky, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1272 Hyde Park Ave Num 74, Hyde Park, Massachusetts |
| Authorized Official Name and Position | Gregory Talalayevsky (OWNER) |
| Authorized Official Contact | 6173646221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Talalayevsky, Md Pc 1272 Hyde Park Ave Hyde Park MA 02136-2702 Ph: (617) 364-6221 | Gregory Talalayevsky, Md Pc 1272 Hyde Park Ave Num 74 Hyde Park MA 02136-2702 Ph: (617) 364-6221 |
| NPI Number | 1033107693 |
|---|---|
| Provider Enumeration Date | 10/07/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4587938055 |
|---|---|
| Medicare Enrollment ID | O20170921002465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033107693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 51654 (Massachusetts) | Primary |
| Provider Name | Gregory Talalayevsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487699245 PECOS PAC ID: 5799731782 Enrollment ID: I20050323000324 |
| Provider Name | Svetlana Shimberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982151080 PECOS PAC ID: 5890070767 Enrollment ID: I20170316001671 |
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