Individual
DR. TIMOTHY J MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42333 DELUXE PLZ, SUITE 7, HAMMOND, LA 70403-1239
(985) 345-2555
(985) 345-2837
Mailing address
807 EDEN OAKS DR, PONCHATOULA, LA 70454-6389
(985) 345-2555
(985) 345-2837
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD.019931
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1985368
—
LA
Enumeration date
06/30/2005
Last updated
08/03/2010
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