Provider Demographics
NPI:1861557035
Name:TAYLOR, EUGENE C II (MD)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:C
Last Name:TAYLOR
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8871 GORMAN RD STE 300
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-5877
Mailing Address - Country:US
Mailing Address - Phone:301-498-3150
Mailing Address - Fax:410-601-8886
Practice Address - Street 1:8871 GORMAN RD STE 300
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-5877
Practice Address - Country:US
Practice Address - Phone:301-498-3150
Practice Address - Fax:410-601-8886
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD55539207Q00000X
DCMD32519207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
011657M92Medicare ID - Type Unspecified
H47314Medicare UPIN