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Contact Information

TIMOTHY M MANZO, DO
1811 ELDRIDGE AVE
BELLINGHAM, WA98225
 Phone: 973-919-1148
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TIMOTHY M MANZO · (Male)

NPI # 1184851305
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/15/2009
Last updated 10/28/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # OT01307
  • WA License # OP60424851
Hospital affiliation(s)
  • UNITED GENERAL HOSPITAL - (Critical Access)
    2000 HOSPITAL DRIVE
    SEDRO WOOLLEY, WA 98284
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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