Gjenvick, Timothy C
Gjenvick, Timothy C is an individual health care provider with primary practice located at 1600 Perrineville Rd , Monroe Twp NJ 08831-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gjenvick, Timothy C can be contacted via phone (609) 924-9300.Contact Information
Primary practice address
1600 Perrineville Rd
Monroe Twp NJ 08831-4923
Phone: (609) 924-9300
Fax: (609) 430-9451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA03470600 | New Jersey |
Profile Details
| NPI number | 1003905498 |
|---|---|
| LBN Legal business name | Gjenvick, Timothy C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Mar 12th, 2008 - about 17 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 | 1003905498 | NPPES |
| New Jersey | Other | 162296 | AMERIHLTH ADMIN-PCP |
| New Jersey | Other | 2647154 | AMERIHLTH ADMIN-PCP |
| New Jersey | Other | 249681 | AMERIHLTH ADMIN-PCP |
| New Jersey | Other | LS403 | AMERIHLTH ADMIN-PCP |
| New Jersey | Other | 110246529 | AMERIHLTH ADMIN-PCP |
| New Jersey | Other | 0085740000 | AMERIHLTH ADMIN-PCP |
| New Jersey | Other | 110244288 | AMERIHLTH ADMIN-PCP |
| New Jersey | MEDICAID | 3150305 | AMERIHLTH ADMIN-PCP |
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