National Provider Identifier
Jacob M Tallman, MD
Jacob M Tallman, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Mount Morris, NY and a listed phone number of (585) 658-2100.
Profile Overview
- NPI
- 1902910482
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- August 19, 2006
- Last Updated
- June 28, 2023
Practice Location
- 118 Main St
- Mount Morris, NY 14510-1218
Phone: (585) 658-2100
Specialties
- Family Medicine Physician (207Q00000X)
Endpoints
- jtallman79248@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1902910482
- Entity Type
- Individual
- Last Name
- Tallman
- First Name
- Jacob
- Middle Name
- M
- Credential
- MD
- Mailing Street Address
- 118 Main St
- Mailing City
- Mount Morris
- Mailing State
- NY
- Mailing ZIP Code
- 14510-1218
- Mailing Country
- US
- Mailing Phone
- (585) 658-2100
- Mailing Fax
- (585) 658-9562
- Practice Street Address
- 118 Main St
- Practice City
- Mount Morris
- Practice State
- NY
- Practice ZIP Code
- 14510-1218
- Practice Country
- US
- Practice Phone
- (585) 658-2100
- Practice Fax
- (585) 658-9562
- Enumeration Date
- August 19, 2006
- Last Updated
- June 28, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)