Rodman, Mariellen Taylor

Rodman, Mariellen Taylor is an individual health care provider with primary practice located at 1030 Falmouth Rd , Hyannis MA 02601-2324. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Rodman, Mariellen Taylor can be contacted via phone (617) 909-0085.

Contact Information

Primary practice address
1030 Falmouth Rd Hyannis MA 02601-2324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 77647 Massachusetts

Profile Details

NPI number 1912996513
LBN Legal business name Rodman, Mariellen Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 14th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912996513 NPPES
Massachusetts MEDICAID 3115763

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