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Individual

MATTHEW JOSEPH TAFFONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(803) 522-1800
(803) 522-1806
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
200600094
NC
2085R0202X
Diagnostic Radiology Physician
Primary
23917
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101238165
MEDICAL LICENSE
VA
01
200600094
MEDICAL LICENSE
NC
01
23917
MEDICAL LICENSE
SC
05
239174
SC
Enumeration date
05/03/2006
Last updated
03/23/2021
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