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Individual
DR. TIMOTHY MARC GRECO
Active
Individual
DR. TIMOTHY MARC GRECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD045430L
PA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD045430L
PA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD045430L
PA
208200000X
Plastic Surgery Physician
MD045430L
PA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
MD045430L
PA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MD045430L
PA
Other
Enumeration date
02/09/2007
Last updated
07/15/2019
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