Individual
MR. TIMOTHY JOSEPH D'AGOSTINO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
06 MO 1188
MO
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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