Individual
DR. JORDAN ROBERT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
906 OAK TREE AVE STE 1, SOUTH PLAINFIELD, NJ 07080-5127
(908) 222-8700
Mailing address
515 MIDDLESEX AVE, COLONIA, NJ 07067-3216
(717) 222-9637
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00731400
NJ
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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