MEDICARE: HOVIK TAYMOORIAN D.O., P.A.

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	207V00000X	Obstetrics & Gynecology Physician	H0054974	MD

General Provider Information

NPI Number	:	1790749679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOVIK TAYMOORIAN D.O., P.A.

Provider Business Mailing Address
First Line	:	8028 RITCHIE HWY
Second Line	:	SUITE 126
City	:	PASADENA
State	:	MD
Zip	:	21122-1075
Country	:	US
Telephone Number	:	410-768-6702
Fax Number	:	410-768-6704

Provider Business Practice Location Address
First Line	:	8028 RITCHIE HWY
Second Line	:	SUITE 126
City	:	PASADENA
State	:	MD
Zip	:	21122-1075
Country	:	US
Telephone Number	:	410-768-6702
Fax Number	:	410-768-6704

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	08/11/2011

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