Dr. Douglas A Taylor
Internist Infectious Disease
134 Evergreen Pl, Ste 812
East Orange
, New Jersey 07018
Dr. Douglas A Taylor
Internist Infectious Disease
134 Evergreen Pl, Ste 812
East Orange
, New Jersey 07018
(973) 676-1915
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About
Features
Specialties
- Internist
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Douglas A Taylor
- 134 Evergreen Pl Ste 812
- East Orange, NJ
- Zip : 07018-2011
- Fax : (973) 676-1915
- Phone : (973) 676-1920
Second Address
- Dr. Douglas A Taylor
- 134 Evergreen Pl, Ste 812
- East Orange, NJ
- Zip : 07018
- Fax : (973) 676-1915
- Phone : (973) 676-1920
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MA64941 | NJ |
| N | 111NI0900X | Internist | MA64941 | NJ |
| Y | 207RI0200X | Infectious Disease | MA64941 | NJ |
National Provider Identifier
| NPI | 1093735284 |
|---|---|
| Provider Name | Dr. Douglas A Taylor |
| First Address | East Orange, NJ 07018-2011 |
| Second Address | East Orange, NJ 07018 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 04/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1740345693 | 741 BROADWAY (01) | NJ |
| 1932370483 | 101 LUDLOW (01) | NJ |
| 222747589 | NCHC TAX ID (01) | NJ |
| 7326301 | (05) | NJ |
| G48916 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.