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NPI Code Detail

MEDICARE: QUINCY MAURICE TAYLOR MD

MEDICARE: QUINCY MAURICE TAYLOR MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine PhysicianMD485182PA

General Provider Information

NPI Number : 1881271666
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUINCY MAURICE TAYLOR MD
Provider Business Mailing Address
First Line : 100 ST LUKES LN
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-6217
Country : US
Telephone Number : 272-212-1000
Fax Number :
Provider Business Practice Location Address
First Line : 100 ST LUKES LN
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-6217
Country : US
Telephone Number : 272-212-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2021
Last Update Date : 05/26/2026

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Directions to “ QUINCY MAURICE TAYLOR MD” Practice Location

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