Individual
TIMOTHY EDWARD PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 798-8100
(315) 734-3158
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
178443-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01300563
—
NY
Enumeration date
06/07/2006
Last updated
07/16/2007
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