Individual
DR. TIMOTHY WELLS WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
385 PROSPECT AVE STE 210, HACKENSACK, NJ 07601-2570
(551) 996-9175
(551) 991-9165
Mailing address
385 PROSPECT AVE STE 210, HACKENSACK, NJ 07601-2570
(551) 996-9175
(551) 991-9165
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150768
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150768
TUFTS HEALTH PLAN
MA
05
—
3194914
—
MA
01
—
J21512
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
04/28/2022
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