DR. Michael Blair Tantillo, MD

NPI #1841281227 in Chestnut Hill, Massachusetts

Provider Information

NPI Number: 1841281227
Entity Type: Individual
Name: DR. Michael Blair Tantillo, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Plastic Surgery
Credential: MD
Enumeration Date: Nov 3, 2005
Last Updated: Nov 30, 2018

Practice Location

Address: 25 BOYLSTON STREET
Address 2: SUITE 304
City: Chestnut Hill
State: Massachusetts
ZIP Code: 02467
Phone: (617) 505-6818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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