Provider Demographics
NPI:1477639706
Name:TAYLOR, HUGH M (MD)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:M
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name Type:
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Mailing Address - Street 1:15 RAILROAD AVENUE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982
Mailing Address - Country:US
Mailing Address - Phone:978-468-7381
Mailing Address - Fax:978-468-6020
Practice Address - Street 1:15 RAILROAD AVENUE
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982
Practice Address - Country:US
Practice Address - Phone:978-468-7381
Practice Address - Fax:978-468-6020
Is Sole Proprietor?:No
Enumeration Date:2006-10-30
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA49948207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA049948OtherTUFTS
MA0177725Medicaid
MAD10010OtherBLUE CROSS BLUE SHIELD
MA0177725Medicaid
MA049948OtherTUFTS