Healthcare Provider Details

I. General information

NPI: 1770557761
Provider Name (Legal Business Name): VICTOR C TAURO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: VICTOR TAURO MD

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 06/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 RT 9 SUITE 6
LANOKA HARBOR NJ
08734
US

IV. Provider business mailing address

PO BOX 340
MANAHAWKIN NJ
08050
US

V. Phone/Fax

Practice location:
  • Phone: 609-971-1711
  • Fax: 609-971-3390
Mailing address:
  • Phone: 609-971-1711
  • Fax: 609-971-3390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA046393
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: