Individual
TIMOTHY MOMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
536 W LAKE AVE, RAHWAY, NJ 07065-2537
(848) 467-9311
Mailing address
536 W LAKE AVE, RAHWAY, NJ 07065-2537
(848) 467-9311
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
015075-1
NY
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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