Individual
MR. TIMOTHY M WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
905 ALLWOOD RD, SUITE 204, CLIFTON, NJ 07012-1933
(973) 778-6676
(973) 778-2666
Mailing address
905 ALLWOOD RD, SUITE 204, CLIFTON, NJ 07012-1933
(973) 778-6676
(973) 778-2666
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00187600
NJ
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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