NPI 1972931285

Taha Bourgo

Practitioner Taxi Princess Anne, MD

Practice location

Address: 12450 Independence CT APT A5, Princess Anne, MD 21853-3022
Phone: (443) 722-2111

Registered specialties

Taxi Primary

Transportation Services Taxonomy 344600000X Licence B620785298002 (MD)

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Registry record

NPI: 1972931285
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2013
Record last updated: 23 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.