| Mdtaubnrprpa Llc | |
|
114 Washington Ave Building 2 Downingtown PA 19335-2951 | |
| (610) 518-7411 | |
| (610) 518-7412 |
| Full Name | Mdtaubnrprpa Llc |
|---|---|
| Speciality | General Practice |
| Location | 114 Washington Ave, Downingtown, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Hepler Taub (OWNER) |
| Authorized Official Contact | 6107557291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdtaubnrprpa Llc 309 Old Kings Hwy Downingtown PA 19335-3352 Ph: (610) 755-7291 | Mdtaubnrprpa Llc 114 Washington Ave Building 2 Downingtown PA 19335-2951 Ph: (610) 518-7411 |
| NPI Number | 1710176375 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710176375 | NPI | - | NPPES |
| MD432914 | Other | PA | MEDICAL LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD432914 (Pennsylvania) | Primary |
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