Corey, Timothy J
Corey, Timothy J is an individual health care provider with primary practice located at 400 Route 17 South , Ridgewood NJ 07450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Corey, Timothy J can be contacted via phone (201) 652-4536.Contact Information
Primary practice address
400 Route 17 South
Ridgewood NJ 07450
Phone: (201) 652-4536
Fax: (201) 652-4906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MA35733 | New Jersey |
Profile Details
| NPI number | 1235234949 |
|---|---|
| LBN Legal business name | Corey, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235234949 | NPPES |
| New Jersey | MEDICAID | 0428604 |
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