Individual
TAYLOR HAWTHORNE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(603) 233-8019
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(603) 233-8019
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MT236343
PA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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