Provider Demographics
NPI:1871593947
Name:TAYLOR, DAVID LEWIS (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LEWIS
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 912
Mailing Address - Street 2:
Mailing Address - City:WHIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07981-0912
Mailing Address - Country:US
Mailing Address - Phone:973-206-8282
Mailing Address - Fax:973-539-1902
Practice Address - Street 1:261 JAMES ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6392
Practice Address - Country:US
Practice Address - Phone:973-206-8282
Practice Address - Fax:973-599-1695
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA44394208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ340010977OtherRAILROAD MC PROVIDER ID
NJ1001308OtherCIGNA
NJ1363739OtherUNITED HEALTHCARE
NJJ20743OtherHEALTHNET
NJ0529509OtherAETNA
NJIS307OtherOXFORD PROVIDER ID
NJ1001308OtherCIGNA
NJJ20743OtherHEALTHNET