Taylor, Charles D

Taylor, Charles D is an individual health care provider with primary practice located at 1493 Cambridge St , Cambridge MA 02139-1047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Taylor, Charles D can be contacted via phone (617) 665-1552.

Contact Information

Primary practice address
1493 Cambridge St Cambridge MA 02139-1047
Phone: (617) 665-1552
Fax: (617) 665-1925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 41161 Massachusetts

Profile Details

NPI number 1104815190
LBN Legal business name Taylor, Charles D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Dec 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104815190 NPPES
Massachusetts MEDICAID 1200992

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