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Individual

MICHELLE V TIMKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
50 DIVISION ST STE 101, SOMERVILLE, NJ 08876-2943
(908) 635-3365
(908) 210-9500
Mailing address
192 FAIRFIELD LN, HILLSBOROUGH, NJ 08844-1707
(908) 672-9417
(908) 725-0078

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00524800
NJ
152WC0802X
Corneal and Contact Management Optometrist
27OA00524800
NJ

Other

Enumeration date
11/06/2006
Last updated
11/13/2019
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