Provider Demographics
NPI:1093961252
Name:TAYLOR, PATRICE L (DO, DABAM)
Entity type:Individual
Prefix:DR
First Name:PATRICE
Middle Name:L
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DO, DABAM
Other - Prefix:DR
Other - First Name:PATRICE
Other - Middle Name:L
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:301 OXFORD VALLEY RD
Mailing Address - Street 2:SUITE 1904
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7706
Mailing Address - Country:US
Mailing Address - Phone:267-392-5200
Mailing Address - Fax:267-392-5207
Practice Address - Street 1:301 OXFORD VALLEY RD
Practice Address - Street 2:SUITE 1904
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7706
Practice Address - Country:US
Practice Address - Phone:267-392-5200
Practice Address - Fax:267-392-5207
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007542L207Q00000X
NJ25MB05882700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine