Timothy Pilla
Surgeon Vascular Surgeon
17 W Red Bank Ave Suite 203
Woodbury
, New Jersey 08096-1630
Timothy Pilla
Surgeon Vascular Surgeon
17 W Red Bank Ave Suite 203
Woodbury
, New Jersey 08096-1630
(856) 651-0853
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Timothy Pilla
- 2 Eves Dr Suite 109
- Marlton, NJ
- Zip : 08053-3193
- Fax : (856) 651-0853
- Phone : (856) 669-6061
Second Address
- Timothy Pilla
- 17 W Red Bank Ave Suite 203
- Woodbury, NJ
- Zip : 08096-1630
- Fax : (856) 384-6015
- Phone : (856) 848-8242
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 25MA05024600 | NJ |
| N | 208600000X | Surgeon | 25MA05024600 | NJ |
| Y | 2086S0129X | Vascular Surgeon | 25MA05024600 | NJ |
National Provider Identifier
| NPI | 1023019312 |
|---|---|
| Provider Name | Timothy Pilla |
| First Address | Marlton, NJ 08053-3193 |
| Second Address | Woodbury, NJ 08096-1630 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2005 |
| Last Update Date | 15/02/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2204207 | (05) | NJ |
| B31735 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.