Individual
ABRAHAM ROBERT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 N NYES RD STE A, HARRISBURG, PA 17112-3247
(717) 657-4040
(717) 671-9038
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD438108
PA
207Q00000X
Family Medicine Physician
MT190850
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024724330001
—
PA
Enumeration date
07/10/2007
Last updated
01/30/2020
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