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Timothy Gannon, PTA
NPI 1346705803 · on the registry since 2019 · sole proprietor
Practice
- Address
- 380 Demott Ln
Somerset, NJ 08873 - Phone
- (800) 571-6511
- Organisation at this address
- Eastern Podiatry Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 208100000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey