Individual
DR. TRUSANDRA ELAINE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1745 N 4TH ST, PHILADELPHIA, PA 19122-3008
(215) 236-0100
Mailing address
819 CORINTHIAN AVE, PHILADELPHIA, PA 19130-1415
(267) 257-4345
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD027910E
PA
Other
Enumeration date
03/14/2008
Last updated
06/02/2014
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