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Individual

TIMOTHY ANDREW GAJEWSKI

Active
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Individual

TIMOTHY ANDREW GAJEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10957A
WY
208800000X
Urology Physician
39425
NC
208800000X
Urology Physician
TL37911
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1099192
UNITED HEALTHCARE
SC
01
—
1111886
WELLCARE
SC
05
—
1841239233
—
NC
01
—
2607136
CIGNA
SC
01
—
340016946
INDIVIDUAL RAILROAD MCR #
NC
01
—
34311
INDIVIDUAL BC/BS NC #
NC
01
—
4129749
AETNA
SC
05
—
7934311
—
NC
05
—
N39425
—
SC
01
—
P01487390
RAILROAD MEDICARE
FL
Enumeration date
06/04/2006
Last updated
05/11/2020
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