Doctor Name: | THOMAS LOUIS TAXMAN |
NPI Number: | 1679570220 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35050627T |
Business Practice Address: | 3609 Park East Drive Suite 210n Beachwood, OH - 44122 |
Business Phone Number: | 2168968000 |
Business Fax Number: | 2168968001 |
Mailing Address: | 3609 Park East Drive, Suite 210n BEACHWOOD |
State: | OH |
Postal Code: | 44122 |
Phone Number: | 2168968000 |
Fax Number: | 2168968001 |
NPI Enumeration Date: | 06/28/2005 |
NPI Last Update Date: | 03/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35050627T |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |