Individual
TIMOTHY JAMES DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1068 W BALTIMORE PIKE, MEDIA, PA 19063-5104
(484) 227-9400
Mailing address
2007 NORTH ST, PHILADELPHIA, PA 19130-3217
(413) 446-1908
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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