Individual
CHARLES D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1552
(617) 665-1925
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1552
(617) 665-1925
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
41161
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200992
—
MA
Enumeration date
10/21/2005
Last updated
12/07/2011
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