Individual
JULIANA TANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(888) 644-3248
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(888) 644-3248
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125.070143
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125.070143
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
05/10/2017
Last updated
06/11/2021
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