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Individual

DR. TREVOR LAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
354 MAIN ST, WEST ORANGE, NJ 07052-5726
(973) 731-2201
Mailing address
354 MAIN ST, WEST ORANGE, NJ 07052-5726
(973) 731-2201

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MA61795
NJ
207RH0003X
Hematology & Oncology Physician
Primary
MA061795
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7402104
NJ
Enumeration date
03/31/2006
Last updated
12/01/2008
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