Individual
MARSHALL M TAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
164 DURFEE ST, FALL RIVER, MA 02720
(508) 674-1400
(508) 673-2146
Mailing address
164 DURFEE ST, FALL RIVER, MA 02720
(508) 674-1400
(508) 673-2146
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MA1574
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001574
TUFTS
—
01
—
1819138
CIGNA
—
01
—
33034
HARVARD PILGRIM
—
01
—
402653
BLUE CHIP
—
01
—
5819
NEIGHBOR HEALTH PLAN
—
01
—
7072
BLUE SHIELD RI
—
05
—
9778594
—
MA
Enumeration date
07/31/2006
Last updated
03/17/2008
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