Individual
RONDALPH SAMUEL TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
36 SAINT JOHNS PL, BROOKLYN, NY 11217-3206
(678) 381-6170
(718) 228-6919
Mailing address
36 SAINT JOHNS PL, BROOKLYN, NY 11217-3206
(678) 381-6170
(718) 228-6919
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
057504
GA
207P00000X
Emergency Medicine Physician
Primary
229432
NY
207P00000X
Emergency Medicine Physician
25MA10166800
NJ
Other
Enumeration date
06/20/2006
Last updated
11/04/2020
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