GEORGE S TALIADOUROS MD NPI 1790722155

NPI Information

NPI: 1790722155
Provider Name: GEORGE S TALIADOUROS, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Specialization: Gynecology
Entity Type: Individual
PECOS Registration: Yes
Address: 405 HURFFVILLE CROSSKEYS RD STE 202
SEWELL, NJ
ZIP 08080
Phone: (856) 589-1414

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NPI Details

George S Taliadouros, MD is a gynecology obstetrics gynecology in Sewell, NJ. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee George S Taliadouros, MD NPI is 1790722155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

405 HURFFVILLE CROSSKEYS RD STE 202
SEWELL, NJ
ZIP 08080-344
Phone: (856) 589-1414
Fax: (856) 256-5772

The NPI 1790722155 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 12/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	25MA05209100	NEW JERSEY	Yes
2	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	MA52091	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4004108	MEDICAID	NEW JERSEY
2	0165872000	OTHER	NEW JERSEY	AMERIHEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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