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Individual

TIMOTHY W HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
238 E BROADWAY, SALEM, NJ 08079-1108
(856) 935-7711
(856) 935-9123
Mailing address
860 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-2018
(609) 567-0200
(609) 704-1482

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB06944700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8066906
NJ
Enumeration date
08/18/2006
Last updated
07/09/2007
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