Individual
ELLA MADISON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 MUDTOWN RD, WANTAGE, NJ 07461-3620
(845) 604-1014
Mailing address
209 MUDTOWN RD, WANTAGE, NJ 07461-3620
(845) 604-1014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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