Provider Demographics
NPI:1548486459
Name:NOTMAN, MALKAH TOLPIN (MD)
Entity type:Individual
Prefix:DR
First Name:MALKAH
Middle Name:TOLPIN
Last Name:NOTMAN
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:54 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445
Mailing Address - Country:US
Mailing Address - Phone:617-731-3978
Mailing Address - Fax:617-734-2539
Practice Address - Street 1:54 CLARK RD
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445
Practice Address - Country:US
Practice Address - Phone:617-731-3978
Practice Address - Fax:617-734-2539
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA235462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAC004496OtherBLUE CROSS BLUE SHIELD