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Individual

TAYLOR C CEDAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
(978) 463-1050
Mailing address
350 OSGOOD ST, NORTH ANDOVER, MA 01845-2907
(978) 682-2106

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4576
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA4576
LICENSE
MA
Enumeration date
11/20/2012
Last updated
06/23/2021
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