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Individual
MARSHALL M TAITZ
Active
Individual
MARSHALL M TAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MA1574
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001574
TUFTS
—
01
—
1819138
CIGNA
—
01
—
33034
HARVARD PILGRIM
—
01
—
402653
BLUE CHIP
—
01
—
5819
NEIGHBOR HEALTH PLAN
—
01
—
7072
BLUE SHIELD RI
—
05
—
9778594
—
MA
Enumeration date
07/31/2006
Last updated
03/17/2008
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