Healthcare Provider Details

I. General information

NPI: 1780062927
Provider Name (Legal Business Name): JULIE TAYLOR SCHULTZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. JULIE TAYLOR

II. Dates (important events)

Enumeration Date: 05/08/2015
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9101 FRANKLIN SQUARE DR STE 300
ROSEDALE MD
21237-3966
US

IV. Provider business mailing address

9101 FRANKLIN SQUARE DR STE 300
ROSEDALE MD
21237-3966
US

V. Phone/Fax

Practice location:
  • Phone: 866-857-9388
  • Fax:
Mailing address:
  • Phone: 443-777-2000
  • Fax: 866-857-9388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0090467
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: