Individual
TIMOTHY DALE MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 EAST 68TH STREET, STARR 946, NEW YORK, NY 10065-4870
(646) 962-9600
(646) 962-0715
Mailing address
525 EAST 68TH STREET, STARR 946, NEW YORK, NY 10065-4870
(646) 962-9600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A95976
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A95976
CA
208800000X
Urology Physician
A95976
CA
Other
Enumeration date
03/26/2008
Last updated
06/28/2021
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