Provider Demographics
NPI:1437118627
Name:TAPLIN, MARY-ELLEN (MD)
Entity Type:Individual
Prefix:
First Name:MARY-ELLEN
Middle Name:
Last Name:TAPLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BINNEY STREET
Mailing Address - Street 2:D1230
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-632-3237
Mailing Address - Fax:
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:D1230
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-3237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA58709207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3000654OtherUNITED HEALTH CARE
AA2299OtherHPHC DFCI ONLY
MAJ13552OtherBLUE CROSS BLUE SHIELD
0047215OtherCIGNA
91157OtherFALLON COMMUNITY HEALTH P
MA3108139Medicaid
058709OtherTUFTS
J13552Medicare UPIN
MA3108139Medicaid