Individual
TAYLOR EDMOND STOFFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
985 PRINCE FREDERICK BLVD., SUITE 201, PRINCE FREDERICK, MD 20678-3492
(561) 843-0276
Mailing address
985 PRINCE FREDERICK BLVD., SUITE 201, PRINCE FREDERICK, MD 20678-3492
(561) 843-0276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006339
VA
Other
Enumeration date
08/28/2018
Last updated
11/20/2019
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