Individual
LAURA TAYLOR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
865 STONE ST, RAHWAY, NJ 07065-2742
(732) 680-7911
Mailing address
11 HAMPSHIRE DR, MENDHAM, NJ 07945-2003
(908) 812-8781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00219300
NJ
Other
Enumeration date
07/09/2009
Last updated
08/04/2011
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