Individual
TAYLOR GRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
Mailing address
43 FARM RD APT 76, HILLSBOROUGH, NJ 08844-4448
(413) 834-3874
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
07/01/2025
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