NPI 1265661425

Laura Taylor Johnson, PAC

Practitioner Physician Assistant Rahway, NJ

Practice location

Address: 865 Stone St, Rahway, NJ 07065-2742
Phone: (732) 680-7911
Mailing address: 11 Hampshire Dr, Mendham, NJ 07945-2003

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00219300 (NJ)

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Registry record

NPI: 1265661425
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2009
Record last updated: 4 Aug 2011

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.