Individual
GEORGE S TALIADOUROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 HURFFVILLE CROSSKEYS RD STE 202, SEWELL, NJ 08080-9344
(856) 589-1414
(856) 256-5772
Mailing address
405 HURFFVILLE CROSSKEYS RD STE 202, SEWELL, NJ 08080-9344
(856) 589-1414
(856) 256-5772
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
MA52091
NJ
207VG0400X
Gynecology Physician
Primary
25MA05209100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165872000
AMERIHEALTH
NJ
05
—
4004108
—
NJ
Enumeration date
06/02/2006
Last updated
12/18/2024
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