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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PROSPERO A TAYCO, P.T.

Active Sole Proprietor

MR. PROSPERO A TAYCO, P.T. is a Skilled Nursing Facility healthcare provider located in RARITAN, New Jersey. NPI 1063734705 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · RARITAN, NJ

Registration Details

NPI Number
1063734705
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2010 (16.434365703803 yrs)
Last Updated
Feb 22, 2010
Licenses
40QA00587900 (NJ)
40QA00587900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
113 WOODMERE ST
RARITAN, NJ, 088691636
Browse NJ providers · Browse ZIP 08869
Phone
9087079079
Primary Specialty
Skilled Nursing Facility
314000000X
Additional Specialty
Skilled Nursing Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.