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General NPI Number Information
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NPI Number | 1427001437
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Entity Type | Individual
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Provider Name | CRAIG LESLIE TAYLOR MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 310 SALEM WOODSTOWN RD
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City | SALEM
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State | NJ
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Zip | 08079-2064
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Country | US
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Telephone | 856-339-6054
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Fax | 856-935-6714
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Provider Business Mailing Address
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Address Line | 134 BRIDGETON PIKE STE D
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City | MULLICA HILL
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State | NJ
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Zip | 08062-2616
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Country | US
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Telephone | 856-339-6054
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Fax | 856-935-6714
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA05805200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME81815
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License Number State | FL
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