Individual
ERLINDA V TACLOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MAIN ST, PATERSON, NJ 07505-1024
(973) 523-0317
(973) 684-8590
Mailing address
100 MAIN ST, PATERSON, NJ 07505-1024
(973) 523-0317
(973) 684-8590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03316200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356808-01
—
NJ
01
—
1073777
HORIZON NJ HEALTH
NJ
01
—
PS000016501
AMERICHOICE OF NJ
NJ
Enumeration date
07/26/2006
Last updated
11/11/2014
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