Individual
MR. TIMOTHY P YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 BUTLER ST., SALEM, NH 03079
(603) 893-2900
(603) 893-1628
Mailing address
70 BUTLER ST., SALEM, NH 03079
(603) 893-2900
(603) 893-1628
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
200600824
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD436939
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203238
—
NJ
05
—
1023289300001
—
PA
01
—
1423K
NCBCBS
NC
05
—
5904301
—
NC
05
—
N0082B
—
SC
Enumeration date
07/24/2006
Last updated
01/12/2023
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