Individual
DR. MARK ANTHONY TAYLOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 LEWIS AVE, GREAT BARRINGTON, MA 01230-1796
(413) 854-9638
Mailing address
29 LEWIS AVE, GREAT BARRINGTON, MA 01230-1796
(413) 854-9638
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
291678
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10498706-8905
STATE OF UTAH DEPARTMENT OF COMMERCE
UT
01
—
291678
MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINE
MA
01
—
MCS008640A
MCSC
MA
Enumeration date
03/22/2016
Last updated
08/16/2022
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