Individual
DR. TIMOTHY JAMES NIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-1806
(302) 733-1808
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-1806
(302) 733-1808
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
C1-0010245
DE
2085R0204X
Vascular & Interventional Radiology Physician
C1-0010245
DE
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD461182
PA
Other
Enumeration date
04/19/2011
Last updated
07/07/2021
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