Provider Demographics
NPI:1386942571
Name:S TALAIE MD & ASSOC PC
Entity type:Organization
Organization Name:S TALAIE MD & ASSOC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:SAIED
Authorized Official - Middle Name:
Authorized Official - Last Name:TALAIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-423-3777
Mailing Address - Street 1:305 BRENTFORD RD
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1718
Mailing Address - Country:US
Mailing Address - Phone:215-423-3777
Mailing Address - Fax:215-423-3780
Practice Address - Street 1:305 BRENTFORD RD
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1718
Practice Address - Country:US
Practice Address - Phone:215-423-3777
Practice Address - Fax:215-423-3780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2013-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025792E207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty