Individual
DR. TIMOTHY J NITZSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 MEDICAL CENTER DR, ANESTHESIA DEPT, FISHERSVILLE, VA 22939-2332
(540) 427-4406
(540) 427-4915
Mailing address
PO BOX 890580, CHARLOTTE, NC 28289-0580
(540) 427-4406
(540) 427-4915
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101241108
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11437100
CAQH
VA
05
—
1295720712
—
VA
Enumeration date
09/12/2005
Last updated
05/30/2008
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