Taliadouros, George S

Taliadouros, George S is an individual health care provider with primary practice located at 6000 Sagemore Dr Suite 6102, Marlton NJ 08053-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Taliadouros, George S can be contacted via phone (856) 988-0072.

Contact Information

Primary practice address
6000 Sagemore Dr Suite 6102 Marlton NJ 08053-3900
Phone: (856) 988-0072
Fax: (856) 988-7308
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X MA52091 New Jersey

Profile Details

NPI number 1790722155
LBN Legal business name Taliadouros, George S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1790722155 NPPES
New Jersey Other 0165872000 AMERIHEALTH
New Jersey MEDICAID 4004108 AMERIHEALTH

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