MEDICARE: MICHAEL A. TAYLOR, MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1093906505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL A. TAYLOR, MD

Provider Business Mailing Address
First Line	:	3388 ACUSHNET AVE
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02745-3901
Country	:	US
Telephone Number	:	508-995-3333
Fax Number	:	508-998-6666

Provider Business Practice Location Address
First Line	:	3388 ACUSHNET AVE
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02745-3901
Country	:	US
Telephone Number	:	508-995-3333
Fax Number	:	508-998-6666

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	DR. MICHAEL A. TAYLOR
Credential	:	MD
Telephone Number	:	508-995-3333

Provider Enumeration Date	:	08/08/2007
Last Update Date	:	08/08/2007

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