| Organization Name: | MDTAUBNRPRPA LLC |
| NPI Number: | 1710176375 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH HEPLER TAUB (OWNER) |
| Mailing Address: | 114 Washington Ave Building 2 Downingtown |
| State: | PA US |
| Postal Code: | 193352951 |
| Phone Number: | 6105187411 |
| Fax Number: | 6105187412 |
| NPI Enumeration Date: | 10/19/2007 |
| NPI Last Update Date: | 10/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD432914 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |