Individual
TIMOTHY J HENDERSON
Active
Individual
TIMOTHY J HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
52523
GA
207X00000X
Orthopaedic Surgery Physician
A92330
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
25MA09165800
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25MA09165800
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
271409-1
NY
Other
Enumeration date
04/26/2006
Last updated
12/29/2020
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