Individual
JOHN TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
83 ROCKAFELLER RD, LOUIS BROWN ATHLETIC CENTER, PISCATAWAY, NJ 08854-8053
(848) 932-6687
Mailing address
313 MOONLIGHT DR, PISCATAWAY, NJ 08854-2261
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00230600
NJ
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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