Pilla, Timothy
Pilla, Timothy is an individual health care provider with primary practice located at 17 W Red Bank Ave Suite 203, Woodbury NJ 08096-1630. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Pilla, Timothy can be contacted via phone (856) 848-8242.Contact Information
Primary practice address
17 W Red Bank Ave Suite 203
Woodbury NJ 08096-1630
Phone: (856) 848-8242
Fax: (856) 384-6015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA05024600 | New Jersey |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 25MA05024600 | New Jersey |
Profile Details
| NPI number | 1023019312 |
|---|---|
| LBN Legal business name | Pilla, Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Feb 15th, 2018 - about 6 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 | 1023019312 | NPPES |
| New Jersey | MEDICAID | 2204207 |
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