Provider Demographics
NPI:1740676766
Name:TAPPEN, MAURA E (MD)
Entity type:Individual
Prefix:
First Name:MAURA
Middle Name:E
Last Name:TAPPEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:300 CRITTENDEN BLVD BOX PSYCH
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-8409
Mailing Address - Country:US
Mailing Address - Phone:585-275-6917
Mailing Address - Fax:585-276-2292
Practice Address - Street 1:1860 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4229
Practice Address - Country:US
Practice Address - Phone:585-279-7800
Practice Address - Fax:585-256-1901
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2023-06-28
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Provider Licenses
StateLicense IDTaxonomies
NY2971332084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry