| Douglas A Taylor Md Pc | |
|
134 Evergreen Pl East Orange NJ 07018-2011 | |
| (973) 676-1920 | |
| (973) 676-1915 |
| Full Name | Douglas A Taylor Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 134 Evergreen Pl, East Orange, New Jersey |
| Authorized Official Name and Position | Douglas A Taylor (DOCTOR) |
| Authorized Official Contact | 9736761920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas A Taylor Md Pc 134 Evergreen Pl East Orange NJ 07018-2011 Ph: (973) 676-1920 | Douglas A Taylor Md Pc 134 Evergreen Pl East Orange NJ 07018-2011 Ph: (973) 676-1920 |
| NPI Number | 1508165341 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 03/18/2011 |
| Medicare PECOS PAC ID | 0648453837 |
|---|---|
| Medicare Enrollment ID | O20110325000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508165341 | NPI | - | NPPES |
| 7326301 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA64941 (New Jersey) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | MA64941 (New Jersey) | Primary |
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