Trevor Layne Md Pa

NPI 1063469708 - Internal Medicine - 207RH0003X

NPI Details
NPI 1063469708
Enumeration Date 05/28/2006
Last Updated 12/01/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TREVOR TREVOR
Position OWNER
Phone (201) 512-9494
Fax
Practice Location
354 MAIN ST
WEST ORANGE NJ, 07052-5726, US
Phone (201) 512-9494
Fax
Business Location
354 MAIN ST
WEST ORANGE NJ, 07052-5726, US
Phone (201) 512-9494
Fax
Toxanomy
Taxonomy Code 207RH0003X
License State New Jersey
License Number MA61795
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According to our database, Trevor Layne Md Pa NPI is 1063469708, taxonomy code is 207RH0003X and license number is MA61795, license state is located at New Jersey. Trevor Layne Md Pa physically located at 354 Main St, West Orange NJ, 07052-5726. NPI Number 1033115704 has the healthcare provider type.

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1063469708 NPI number is provided on an as is basis without warranty of any kind. 1063469708 is maintained by the National Plan & Provider Enumeration System. The contents of Trevor Layne Md Pa are for informational purposes only.