Individual
TIMOTHY A MANZONE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4755 OGLETOWN STANTON ROAD, NEWARK, DE 19713
(302) 733-1525
(302) 733-1518
Mailing address
PO BOX 3012, WILMINGTON, DE 19804-0012
(302) 224-5678
(302) 224-2848
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
C1-0005647
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001021201
—
DE
01
—
0193126000
AMERIHEALTH PRODUCTS
DE
Enumeration date
06/15/2006
Last updated
07/08/2007
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