Organization
KOFI SHAW-TAYLOR MD PA WESTSIDE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOFI SHAW-TAYLOR MD (OWNER)
(410) 922-7382
Entity
Organization
Contact information
Practice address
2600 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21215-7804
(410) 922-7382
(410) 922-7384
Mailing address
801 KEY HIGHWAY, STE 211 BLDG 1, BALTIMORE, MD 21230
(410) 922-7382
(410) 922-7384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
07/17/2009
Last updated
10/19/2009
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