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Individual

ROBERT C TALIAFERRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3330
Mailing address
PO BOX 730, BALTIMORE, MD 21203-0730
(301) 631-9191
(301) 631-1002

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C0000529
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
762671100
MD
Enumeration date
06/19/2006
Last updated
06/30/2010
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