Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | D22666 | MD |
NPI | 1174597587 |
---|---|
Provider Name | Dr. Ellen Levin Taylor |
First Address | Baltimore, MD 21209-1453 |
Second Address | Baltimore, MD 21209-1453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 23/11/2010 |