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Individual

ERIC N TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600B CONGRESS ST, PORTLAND, ME 04102-2124
(207) 774-5222
(207) 761-4433
Mailing address
1600B CONGRESS ST, PORTLAND, ME 04102-2124
(207) 774-5222
(207) 761-4433

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
018207
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0036404
NEIGHBORHOOD HEALTH
MA
01
4431601
HEALTHSOURCE
MA
01
4431604
CIGNA
MA
01
470183
TIFTS HEALTH PLAN
MA
05
9782834
MA
01
AA45527
HARVARD PILGRIM
MA
01
J28568
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/28/2006
Last updated
03/05/2014
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