Provider Demographics
NPI:1770557761
Name:TAURO, VICTOR C (MD)
Entity type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:C
Last Name:TAURO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:VICTOR
Other - Middle Name:
Other - Last Name:TAURO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050
Mailing Address - Country:US
Mailing Address - Phone:609-971-1711
Mailing Address - Fax:609-971-3390
Practice Address - Street 1:411 RT 9
Practice Address - Street 2:SUITE 6
Practice Address - City:LANOKA HARBOR
Practice Address - State:NJ
Practice Address - Zip Code:08734
Practice Address - Country:US
Practice Address - Phone:609-971-1711
Practice Address - Fax:609-971-3390
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA046393207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C55016Medicare UPIN
NJC509933Medicare ID - Type Unspecified