Individual
MR. MARK A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 HANOVER STREET, SUITE 2A, FALL RIVER, MA 02720-5451
(508) 679-7774
(508) 679-7724
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1455
MA
Other
Enumeration date
06/20/2007
Last updated
01/07/2014
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