Individual
DR. TIMOTHY M MANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1811 ELDRIDGE AVE, BELLINGHAM, WA 98225
(973) 919-1148
Mailing address
2000 HOSPITAL DR, SEDRO WOOLLEY, WA 98284-4327
(973) 919-1148
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP60424851
WA
207P00000X
Emergency Medicine Physician
OT01307
PA
Other
Enumeration date
06/15/2009
Last updated
10/28/2014
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