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Organization
TAYLORED UROGYN CARE
Active
Organization
TAYLORED UROGYN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AISHA KHALALI TAYLOR MD (UROGYNECOLOGIC SPECIALIST)
(312) 450-4883
Entity
Organization
Contact information
Practice address
2164 NOTTOWAY DRIVE, HANOVER, MD 21076-1095
(667) 274-3333
Mailing address
2657G ANNAPOLIS RD # 327, HANOVER, MD 21076-1262
(667) 274-3333
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
NULL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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