Individual
DR. TIMOTHY DANIEL SHUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3894
(203) 852-2000
Mailing address
1706 BUSHWICK AVE, MERRICK, NY 11566-2938
(347) 277-3691
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
69607
CT
Other
Enumeration date
03/21/2019
Last updated
10/11/2022
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