| Doctor Name: | MARK THEODORE LAYTON |
| NPI Number: | 1033454921 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 25MP00312700 |
| Business Practice Address: | 211 Essex St Suite 101 Hackensack, NJ - 076013231 |
| Business Phone Number: | 5519996433 |
| Business Fax Number: | 5515002070 |
| Mailing Address: | 211 Essex St, Suite 101 HACKENSACK |
| State: | NJ |
| Postal Code: | 076013231 |
| Phone Number: | 5519996433 |
| Fax Number: | 5515002070 |
| NPI Enumeration Date: | 12/03/2012 |
| NPI Last Update Date: | 11/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 25MP00312700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |