Individual
MR. TIMOTHY ALLEN ALDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
278 ROUTE 10 W, SUCCASUNNA, NJ 07876
(624) 775-2888
(862) 477-5290
Mailing address
278 ROUTE 10 W, SUCCASUNNA, NJ 07876-1096
(862) 477-5288
(862) 477-5290
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01058500
NJ
363LA2100X
Acute Care Nurse Practitioner
431391
NY
Other
Enumeration date
04/20/2018
Last updated
11/19/2024
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