Individual
MR. TIMOTHY LOUIS RECORDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3500
Mailing address
41 AUTUMNWOOD DR, NEWARK, DE 19711-2485
(302) 593-4445
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17204500
NJ
163W00000X
Registered Nurse
L1-0040869
DE
163W00000X
Registered Nurse
RN631063
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00680900
NJ
Other
Enumeration date
08/31/2016
Last updated
08/23/2024
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