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Organization

TAYLORED UROGYN CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AISHA KHALALI TAYLOR MD (UROGYNECOLOGIC SPECIALIST)
(312) 450-4883
Entity
Organization

Contact information

Practice address
2164 NOTTOWAY DRIVE, HANOVER, MD 21076-1095
(667) 274-3333
Mailing address
2657G ANNAPOLIS RD # 327, HANOVER, MD 21076-1262
(667) 274-3333

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
261QA1903X
Ambulatory Surgical Clinic/Center
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
06/16/2022
Last updated
06/16/2022
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