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Organization

TIMOTHY W. WILLOX, M.D., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY WILLIAM WILLOX M.D. (PRESIDENT)
(518) 458-2488
Entity
Organization

Contact information

Practice address
319 S MANNING BLVD, SUITE 310, ALBANY, NY 12208-1742
(518) 458-2488
(518) 489-8168
Mailing address
319 S MANNING BLVD, SUITE 310, ALBANY, NY 12208-1742
(518) 458-2488
(518) 489-8168

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
185491
NY
208600000X
Surgery Physician
Primary
231845
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01241170
NY
05
02748112
NY
Enumeration date
05/24/2007
Last updated
08/22/2020
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