Provider / Organization | NPI | Date Certified |
---|---|---|
MATTHEW ALAN TAYLOR | 1407430101 | 2021-05-12 |
Matthew Alan Taylor is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407430101. Registration indicates Matthew Alan Taylor is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Dr. Matthew Alan Taylor MD |
Practice Office Address | 593 EDDY ST PROVIDENCE, RI US |
Practice Office Telephone | 4014573336 |
Practice Office Fax | 4015252549 |
Mailing Address | 593 EDDY ST PROVIDENCE, RI 029034923 US |
Business Telephone | 4014573336 |
Business Fax | 4015252549 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | 05271
RI |