Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 34007154T | OH |
NPI | 1043294481 |
---|---|
Provider Name | Dr. Martin T Taylor |
First Address | Westerville, OH 43081-1397 |
Second Address | New Albany, OH 43054-8167 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 14/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2133480 | (05) | OH |
H09155 | (02) | OH |