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NPI Code Detail

MEDICARE: DR. RICHARD L TAX M.D.

MEDICARE: DR. RICHARD L TAX 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
1207W00000XOphthalmology PhysicianMD014645EPA

General Provider Information

NPI Number : 1780693119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD L TAX M.D.
Provider Business Mailing Address
First Line : 319 2ND STREET PIKE
Second Line :
City : SOUTHAMPTON
State : PA
Zip : 18966-3812
Country : US
Telephone Number : 215-355-4428
Fax Number : 215-355-0790
Provider Business Practice Location Address
First Line : 319 2ND STREET PIKE
Second Line :
City : SOUTHAMPTON
State : PA
Zip : 18966-3812
Country : US
Telephone Number : 215-355-4428
Fax Number : 215-355-0790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 03/27/2012

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