Provider Demographics
NPI:1720052822
Name:TAO, XIAOJING (MD)
Entity Type:Individual
Prefix:
First Name:XIAOJING
Middle Name:
Last Name:TAO
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 1:9 INDUSTRIAL RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3735
Mailing Address - Country:US
Mailing Address - Phone:508-473-1480
Mailing Address - Fax:508-473-1210
Practice Address - Street 1:100 MEDWAY RD
Practice Address - Street 2:SUITE 401
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2923
Practice Address - Country:US
Practice Address - Phone:508-634-7338
Practice Address - Fax:508-634-7315
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216871207VG0400X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2020441Medicaid
MAA35859Medicare ID - Type Unspecified
MA2020441Medicaid