Individual
MR. TIMOTHY MARING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 273-1701
(302) 273-4497
Mailing address
979 THOMPSON DR, BAY SHORE, NY 11706-7532
(516) 780-2305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0011861
DE
363AM0700X
Medical Physician Assistant
018810
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018810
NEW YORK STATE OFFICE OF PROFESSIONS
NY
Enumeration date
07/15/2015
Last updated
06/14/2023
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