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Taha Bourgo

NPI 1972931285 · on the registry since 2013 · sole proprietor

Practice

Address
12450 Independence Ct Apt A5
Princess Anne, MD 21853
Phone
(443) 722-2111
Organisation at this address
Academy Taxi Service
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
344600000X
344600000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland