Individual
TAYLAH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2052 MORRIS AVE, UNION, NJ 07083
(908) 350-4444
Mailing address
722 FRANKLIN TER, ROSELLE, NJ 07203-2427
(908) 247-6661
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00862100
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00862100
NJ
Other
Enumeration date
10/02/2018
Last updated
09/25/2019
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