Watkins, Timothy Wells

Watkins, Timothy Wells is an individual health care provider with primary practice located at 385 Prospect Ave Ste 210 , Hackensack NJ 07601-2570. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Watkins, Timothy Wells can be contacted via phone (551) 996-9175.

Contact Information

Primary practice address
385 Prospect Ave Ste 210 Hackensack NJ 07601-2570
Phone: (551) 996-9175
Fax: (551) 991-9165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 150768 Massachusetts

Profile Details

NPI number 1922098664
LBN Legal business name Watkins, Timothy Wells
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Apr 28th, 2022 - about 2 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 1922098664 NPPES
Massachusetts Other 150768 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3194914 TUFTS HEALTH PLAN
Massachusetts Other J21512 TUFTS HEALTH PLAN

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