Individual
MR. BRUCE V TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
980 E MAIN ST STE 2, COBLESKILL, NY 12043-5742
(518) 234-2020
(518) 234-0092
Mailing address
53 FERNBANK AVE, DELMAR, NY 12054-4027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T004819
NY
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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