Individual
MRS. MARY ANN TIMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-3033
Mailing address
81 SKYTOP DR, MAHWAH, NJ 07430-3059
(201) 315-0848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00323200
NJ
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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