Individual
TAYLOR WILLIAM NOTTAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 FROM RD, PARAMUS, NJ 07652-3517
(201) 639-6620
Mailing address
15 TINTLE RD # 2, BUTLER, NJ 07405-1900
(401) 481-4021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00781900
NJ
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/18/2020
Last updated
10/04/2023
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