Organization
POMPTON LAKES PULMONARY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY O'DONNELL D.O. (PRESIDENT)
(973) 694-1300
Entity
Organization
Contact information
Practice address
63 BEAVERBROOK RD STE 301, LINCOLN PARK, NJ 07035-1440
(973) 694-1300
(973) 694-1399
Mailing address
63 BEAVERBROOK RD STE 301, LINCOLN PARK, NJ 07035-1440
(973) 694-1300
(973) 694-1399
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6836101
—
NJ
Enumeration date
05/23/2006
Last updated
04/20/2008
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