Organization
DOUGLAS A TAYLOR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS A TAYLOR MD (DOCTOR)
(973) 676-1920
Entity
Organization
Contact information
Practice address
134 EVERGREEN PL, EAST ORANGE, NJ 07018-2011
(973) 676-1920
(973) 676-1915
Mailing address
134 EVERGREEN PL, EAST ORANGE, NJ 07018-2011
(973) 676-1920
(973) 676-1915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA64941
NJ
207RI0200X
Infectious Disease Physician
Primary
MA64941
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7326301
—
NJ
Enumeration date
03/18/2011
Last updated
03/18/2011
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