Provider Demographics
NPI:1902970627
Name:TAYLOR, JOSEPH BERNARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:BERNARD
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:20 PONDMEADOW DR
Mailing Address - Street 2:STE 206
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867
Mailing Address - Country:US
Mailing Address - Phone:781-944-0040
Mailing Address - Fax:781-944-1684
Practice Address - Street 1:20 PONDMEADOW DR
Practice Address - Street 2:STE 206
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867
Practice Address - Country:US
Practice Address - Phone:781-944-0040
Practice Address - Fax:781-944-1684
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA52385207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110066084Medicaid
MAJ02859Medicare PIN
B74350Medicare UPIN