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NPI Code Detail

MEDICARE: TAYLOR AGLIO M.D.

MEDICARE: TAYLOR AGLIO M.D.
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
12080H0002XPediatric Hospice and Palliative Medicine Physician74337CT
2208000000XPediatrics PhysicianMD463589PA

General Provider Information

NPI Number : 1285015453
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR AGLIO M.D.
Provider Business Mailing Address
First Line : 49 N DUNLAP ST # 131
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2802
Country : US
Telephone Number : 901-287-5584
Fax Number :
Provider Business Practice Location Address
First Line : 282 WASHINGTON ST
Second Line :
City : HARTFORD
State : CT
Zip : 06106-3322
Country : US
Telephone Number : 860-837-9630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2015
Last Update Date : 11/20/2023

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