Individual
FREDERICK G TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
659 ATWOOD RD, PHILADELPHIA, PA 19151-3710
(215) 327-1925
(215) 528-5687
Mailing address
653 ATWOOD RD, PHILADELPHIA, PA 19151-3710
(215) 681-1568
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103597254-001
—
PA
Enumeration date
03/18/2019
Last updated
03/18/2019
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