TIMOTHY THOMAS SHACK

CHERRY HILL, NJ
NPI1821273616
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  MD064207L)
Enumeration Date2007-12-31
Last Update Date2012-04-10
Business Address
Dr. TIMOTHY THOMAS SHACK M.D.
27 COVERED BRIDGE RD
CHERRY HILL, NJ 08034-2945
Phone number: 856-429-2224
Mailing Address
Dr. TIMOTHY THOMAS SHACK M.D.
27 COVERED BRIDGE RD
CHERRY HILL, NJ 08034-2945
Phone number: 856-429-2224
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