Dr. Michael B Tantillo, MD
Plastic Surgery in Chestnut Hill, Massachusetts
1841281227- Practice location
- 25 Boylston Street, Suite 304, Chestnut Hill, MA 02467
- Phone
- 617-505-6818
- Fax
- 617-505-6813
- Last updated
- November 30, 2018
Michael Blair Tantillo is a Plastic Surgery based in Chestnut Hill, MA. Michael Blair Tantillo practices in Chestnut Hill, MA and has the professional credentials of MD. The NPI Number for Michael Blair Tantillo is 1841281227 and holds a License No. 19264 (NH). The current practice location address for Michael Blair Tantillo is 25 Boylston Street, Suite 304, Chestnut Hill, MA 02467 and can be reached out via phone at 617-505-6818 and via fax at 617-505-6813.
Provider Profile Details
- NPI Number
- 1841281227
- Provider Name
- Michael Blair Tantillo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 25 Boylston Street, Suite 304, Chestnut Hill, MA 02467
- Phone Number
- 617-505-6818
- Fax Number
- 617-505-6813
- Primary Taxonomy
- Plastic Surgery · 208200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 3, 2005
- Last Update Date
- November 30, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Boylston Street
Suite 304
Chestnut Hill, MA 02467 - City
- Chestnut Hill
- State
- Massachusetts
- Zip
- 02467
- Phone Number
- 617-505-6818
- Fax Number
- 617-505-6813
Provider Business Mailing Address Details
- Address
- 25 Boylston Street
Suite 304
Chestnut Hill, MA 02467 - City
- Chestnut Hill
- State
- MA
- Zip
- 02467
- Phone Number
- 617-505-6818
- Fax Number
- 617-505-6813
License Information
- License Number (1)
- 19264
- License State (1)
- NH
- Taxonomy (1)
- Plastic Surgery · 208200000X
- License Number (2)
- 74194
- License State (2)
- MA
- Taxonomy (2)
- Plastic Surgery · 208200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Plastic Surgery providers near Chestnut Hill, MA
View all Plastic Surgery providers in Chestnut Hill →Frequently Asked Questions
What is the NPI number of Dr. Michael B Tantillo, MD?
The NPI number of Dr. Michael B Tantillo, MD is 1841281227. It was assigned on November 3, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael B Tantillo, MD?
Dr. Michael B Tantillo, MD is registered under the primary taxonomy Plastic Surgery (code 208200000X), licensed in NH under license number 19264.
Where does Dr. Michael B Tantillo, MD practice?
The practice location is 25 Boylston Street, Suite 304, Chestnut Hill, MA 02467. The office can be reached at 617-505-6818 (phone) or 617-505-6813 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841281227 directly on the NPPES registry website.