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Taylor Anthony, MD

Student in an Organized Health Care Education/Training Program in Newark, NJ. Individual provider (NPI-1).

NPI number1124861554
StatusActive
Last updated in NPPESJun 13, 2024

Details

NPI
1124861554
Entity type
Individual (NPI-1)
Name
Taylor Anthony
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 13, 2024
Certification date
May 16, 2024
Last updated
Jun 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

183 S Orange Ave
Newark, NJ 07103-2757

Phone 800-969-5300

Mailing address

183 S Orange Ave
Newark, NJ 07103-2757

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