Organization
MDTAUBNRPRPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HEPLER TAUB MD (OWNER)
(610) 755-7291
Entity
Organization
Contact information
Practice address
114 WASHINGTON AVE, BUILDING 2, DOWNINGTOWN, PA 19335-2951
(610) 518-7411
(610) 518-7412
Mailing address
309 OLD KINGS HWY, DOWNINGTOWN, PA 19335-3352
(610) 755-7291
(610) 518-7412
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD432914
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD432914
MEDICAL LICENCE
PA
Enumeration date
10/19/2007
Last updated
10/19/2007
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