Individual
TAYLOR M DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2211
(551) 996-5727
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D009661
MD
207R00000X
Internal Medicine Physician
D009661
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25IA12162900
NJ
Other
Enumeration date
04/06/2017
Last updated
01/23/2026
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