Individual
LINDSEY ANN TILLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2222
Mailing address
518 ALEXANDER WAY, EDGEWATER, NJ 07020-2504
(617) 721-7392
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA09672400
NJ
Other
Enumeration date
07/22/2010
Last updated
10/22/2015
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