Individual
DR. TIMOTHY FOLSOM SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 NORTHWAY LN, LATHAM, NY 12110
(518) 786-1291
Mailing address
1 NORTHWAY LN, LATHAM, NY 12110
(518) 786-1291
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
238075
NY
Other
Enumeration date
06/26/2007
Last updated
02/02/2017
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