Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD040727E | PA |
NPI | 1235251836 |
---|---|
Provider Name | Dr. Judith Elizabeth Taylor |
First Address | Uniontown, PA 15401-2802 |
Second Address | Uniontown, PA 15401-8922 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E63594 | (02) | PA |