Individual
DR. TIMOTHY M. SLAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 ENGLISH CREEK AVE., BLDG 200, SUITE 211, EGG HARBOR TOWNSHIP, NJ 08234
(609) 677-7776
(609) 677-7509
Mailing address
2500 ENGLISH CREEK AVE, BLDG 200, STE 211, EGG HARBOR TOWNSHIP, NJ 08234-5549
(609) 677-7776
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
02002060A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
25MB08865300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254142
—
NJ
05
—
200254350A
—
IN
Enumeration date
06/15/2005
Last updated
08/17/2021
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