Basic Information
| Provider Information | |||||||||
| NPI: | 1114993078 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TAUBMAN | ||||||||
| FirstName: | ROSS | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.P.M. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6100 DAYLONG LN | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | CLARKSVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210291626 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4435358770 | ||||||||
| FaxNumber: | 4435358775 | ||||||||
| Practice Location | |||||||||
| Address1: | 6100 DAYLONG LN | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | CLARKSVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210291626 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4435358770 | ||||||||
| FaxNumber: | 4435358775 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | 00677 | MD | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.