NPI 1235616608

Coker D Taylor

Practitioner Supports Brokerage Agency Willingboro, NJ

Practice location

Address: 48 Normandy Ln, Willingboro, NJ 08046-1308
Phone: (609) 456-1449

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in New Jersey →

Registry record

NPI: 1235616608
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2018
Record last updated: 27 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.