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Individual

BRIAN G TAIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1205 LANGHORNE NEWTOWN RD, LANGHORNE, PA 19047-1219
(215) 710-2196
(215) 710-2408
Mailing address
1205 LANGHORNE NEWTOWN RD, LANGHORNE, PA 19047-1219
(215) 710-2196
(215) 710-2408

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN513375L
PA

Other

Enumeration date
10/04/2005
Last updated
09/12/2007
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