Individual
PHILIP C TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3615 CHESTNUT STREET, PHILADELPHIA, PA 19104
(215) 662-2746
(610) 387-4526
Mailing address
3615 CHESTNUT STREET, PHILADELPHIA, PA 19104
(215) 662-2746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD023260E
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD023260E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008866080006
—
PA
01
—
0045875000
KEYSTONE
—
01
—
0045875002
BCBS HIGHMARK KEYSTONE
—
01
—
04-32948
EVERCARE
—
01
—
TA161829
HIGHMARK BLUE SHIELD
—
Enumeration date
06/15/2006
Last updated
10/02/2012
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