Individual
DR. GARY L TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2110 DORCHESTER AVE, SUITE 311, DORCHESTER CENTER, MA 02124-5628
(617) 296-0456
(617) 296-1655
Mailing address
69 WILMINGTON AVE, DORCHESTER CENTER, MA 02124-4512
(617) 436-8968
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53555
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020228
BOSTON HEALTH NET
MA
01
—
0401251
UNITED HEALTHCARE
MA
05
—
3037444
—
MA
01
—
709833
TUFTS ASSOCIATED HEALTH P
—
01
—
92477
AETNA US HEALTHCARE
—
01
—
B10127801
CIGNA HEALTHCARE
—
01
—
J05571
BLUE CROSS/BLUE SHIELD
—
Enumeration date
10/20/2005
Last updated
07/08/2007
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