Individual
THOMAS TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 E GREEN ST, #214, PASADENA, CA 91106-2401
(626) 577-7730
Mailing address
960 E GREEN ST, #214, PASADENA, CA 91106-2401
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G66279
MA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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