Provider Demographics
NPI:1497524904
Name:TAYLOR, ANTHONY N JR
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:N
Last Name:TAYLOR
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45693 SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-6319
Mailing Address - Country:US
Mailing Address - Phone:301-537-3336
Mailing Address - Fax:
Practice Address - Street 1:45693 SPRUCE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-6319
Practice Address - Country:US
Practice Address - Phone:301-537-3336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty