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Individual
DR. TIMOTHY JOSEPH QUILLEN
Active
Individual
DR. TIMOTHY JOSEPH QUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14869
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
774449
WELLCARE
SC
01
—
80023042
SELECT HEALTH
SC
05
—
890585W
—
NC
05
—
GP4522
—
SC
01
—
P00360562
RAILROAD MEDICARE
SC
Enumeration date
05/24/2006
Last updated
04/30/2026
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