Mackey, Timothy Joseph

Mackey, Timothy Joseph is an individual health care provider with primary practice located at 4 Godwin Avenue , Midland Park NJ 07432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mackey, Timothy Joseph can be contacted via phone (201) 444-7070.

Contact Information

Primary practice address
4 Godwin Avenue Midland Park NJ 07432
Phone: (201) 444-7070
Fax: (201) 444-7228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MA69280 New Jersey

Profile Details

NPI number 1750426615
LBN Legal business name Mackey, Timothy Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Jul 9th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750426615 NPPES
New Jersey MEDICAID 8247901

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