MEDICARE: DR. NEAL STEPHEN TAUB 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
1	208100000X	Physical Medicine & Rehabilitation Physician	81743	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467521567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEAL STEPHEN TAUB M.D.

Provider Business Mailing Address
First Line	:	PO BOX 31741
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28231-1741
Country	:	US
Telephone Number	:	704-442-9805
Fax Number	:	704-405-0868

Provider Business Practice Location Address
First Line	:	3535 RANDOLPH RD
Second Line	:	SUITE 208
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1032
Country	:	US
Telephone Number	:	704-442-9805
Fax Number	:	704-405-0868

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	03/06/2008

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