Individual
TIMOTHY J COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 ROUTE 17 SOUTH, RIDGEWOOD, NJ 07450
(201) 652-4536
(201) 652-4906
Mailing address
400 ROUTE 17 SOUTH, RIDGEWOOD, NJ 07450
(201) 652-4536
(201) 652-4906
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA35733
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0428604
—
NJ
Enumeration date
09/14/2006
Last updated
07/08/2007
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