Individual
GINA TIMOCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922
(908) 277-8872
(908) 673-7382
Mailing address
375 ENGLE ST, SECOND FLOOR, ENGLEWOOD, NJ 07631-1823
(201) 871-6073
(201) 871-0619
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NO11437600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00196568
RAILROAD MEDICARE
NJ
Enumeration date
07/01/2006
Last updated
08/13/2018
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