Provider Demographics
NPI:1740268903
Name:TALIAFERRO, HARLAN CARSON (MD)
Entity type:Individual
Prefix:DR
First Name:HARLAN
Middle Name:CARSON
Last Name:TALIAFERRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:110 HOSPITAL RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-4019
Mailing Address - Country:US
Mailing Address - Phone:410-535-1343
Mailing Address - Fax:410-535-6954
Practice Address - Street 1:110 HOSPITAL RD
Practice Address - Street 2:SUITE 201
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4019
Practice Address - Country:US
Practice Address - Phone:410-535-1343
Practice Address - Fax:410-535-6954
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0076251207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD336735500Medicaid