Individual
TIMOTHY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MONTAUK HWY STE 3-3, WEST ISLIP, NY 11795-4910
(631) 376-6185
Mailing address
3400 SPRUCE ST, DEPARTMENT OF SURGERY, PHILADELPHIA, PA 19104-4238
(215) 776-7273
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
288008
NY
Other
Enumeration date
04/12/2010
Last updated
08/08/2019
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