Individual
MR. EVAN W. TAXIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
910 FREDERICK RD, CATONSVILLE, MD 21228-4516
(410) 644-1880
(410) 646-3623
Mailing address
910 FREDERICK RD, CATONSVILLE, MD 21228-4516
(410) 644-1880
(410) 644-0971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C06231
MD
363AS0400X
Surgical Physician Assistant
Primary
C06231
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111113413
—
GA
Enumeration date
12/10/2013
Last updated
01/08/2020
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