Individual
TIMOTHY PILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 W RED BANK AVE, SUITE 203, WOODBURY, NJ 08096-1630
(856) 848-8242
(856) 384-6015
Mailing address
2 EVES DR, SUITE 109, MARLTON, NJ 08053-3193
(856) 669-6061
(856) 651-0853
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA05024600
NJ
2086S0129X
Vascular Surgery Physician
Primary
25MA05024600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2204207
—
NJ
Enumeration date
08/09/2005
Last updated
02/15/2018
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