Individual
J. PAUL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 2 RAVDIN BUILDING, PHILADELPHIA, PA 19104
(215) 662-3606
Mailing address
3624 MARKET STREET STE 560W, UPHS OFFICE OF MEDICAL AFFAIRS, PHILADELPHIA, PA 19104
(215) 662-2286
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD063060L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010807150001
—
PA
Enumeration date
07/10/2006
Last updated
07/08/2007
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