Provider Demographics
NPI:1609866474
Name:TAYLOR, SIMEON ISRAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:SIMEON
Middle Name:ISRAEL
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3 FIRESTONE CT
Mailing Address - Street 2:
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-2336
Mailing Address - Country:US
Mailing Address - Phone:609-466-8380
Mailing Address - Fax:609-818-7668
Practice Address - Street 1:3 FIRESTONE CT
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2336
Practice Address - Country:US
Practice Address - Phone:609-466-8380
Practice Address - Fax:609-818-7668
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA42709207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism