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Organization
TAYLOR MEDICAL ASSOCIATES P.C.
Active
Organization
TAYLOR MEDICAL ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MICHAEL BUYO D.O. (FAMILY PHYSICIAN)
(570) 562-0421
Entity
Organization
Contact information
Practice address
109 N MAIN ST, TAYLOR, PA 18517-1415
(570) 562-0421
(570) 986-0005
Mailing address
3 W OLIVE ST, SUITE 201, SCRANTON, PA 18508-2572
(570) 969-0663
(570) 969-9697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS013728
PA
261QP2300X
Primary Care Clinic/Center
OS013728
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025560600001
—
PA
Enumeration date
10/11/2009
Last updated
05/09/2011
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