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Individual

DR. ROGER S. TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
59 MANCHESTER AVE, FORKED RIVER, NJ 08731-1359
(609) 242-0007
(609) 247-0143
Mailing address
59 MANCHESTER AVE, FORKED RIVER, NJ 08731-1359
(609) 242-0007
(609) 247-0143

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00200100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4837207
NJ
Enumeration date
10/31/2005
Last updated
12/09/2008
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