Organization
TREVOR LAYNE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR LAYNE MD (OWNER)
(973) 763-9696
Entity
Organization
Contact information
Practice address
354 MAIN ST, WEST ORANGE, NJ 07052-5726
(201) 512-9494
Mailing address
354 MAIN ST, WEST ORANGE, NJ 07052-5726
(201) 512-9494
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA61795
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7402104
—
NJ
Enumeration date
05/28/2006
Last updated
12/01/2008
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