Individual
NORMA A RAE-LAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
59 MAIN ST, SUITE 207, WEST ORANGE, NJ 07052-5341
(862) 766-5363
(862) 766-5363
Mailing address
59 MAIN ST, SUITE 207, WEST ORANGE, NJ 07052-5341
(862) 766-5363
(862) 766-5363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054003
—
NJ
01
—
25MA07844500
LICENCE
NJ
01
—
510501409
TAX ID
—
01
—
D08642300
CDS
NJ
Enumeration date
10/24/2006
Last updated
07/13/2022
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