Individual
DR. DANIEL RANDOLPH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
231 N BROAD ST, PHILADELPHIA, PA 19107-1511
(215) 523-6601
(215) 523-6800
Mailing address
524 WESTVIEW ST, PHILADELPHIA, PA 19119-3528
(215) 848-6933
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS009985L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018626470001
—
PA
Enumeration date
05/08/2006
Last updated
11/14/2011
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