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NPI Code Detail

MEDICARE: TAYLOR POLITO PA

MEDICARE: TAYLOR POLITO PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1083343750
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR POLITO PA
Provider Business Mailing Address
First Line : 590 PLYMOUTH ST
Second Line :
City : WHITMAN
State : MA
Zip : 02382-1629
Country : US
Telephone Number : 617-435-8114
Fax Number :
Provider Business Practice Location Address
First Line : 41 RESNIK RD
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-5721
Country : US
Telephone Number : 781-934-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2022
Last Update Date : 03/12/2026

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Directions to “ TAYLOR POLITO PA” Practice Location

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