Healthcare Provider Details

I. General information

NPI: 1285015453
Provider Name (Legal Business Name): TAYLOR AGLIO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2015
Last Update Date: 11/20/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

49 N DUNLAP ST # 131
MEMPHIS TN
38103-2802
US

V. Phone/Fax

Practice location:
  • Phone: 860-837-9630
  • Fax:
Mailing address:
  • Phone: 901-287-5584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080H0002X
TaxonomyPediatric Hospice and Palliative Medicine Physician
License Number74337
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD463589
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: