NPI 1780974105 · live from the CMS NPI Registry
Timothy James Niesen, M.D.
Radiology, Vascular & Interventional Radiology in Newark, DE. National Provider Identifier 1780974105, active.
NPI record
| NPI | 1780974105 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Vascular & Interventional Radiology 2085R0204X |
| Practice location | 4755 Ogletown Stanton Rd, Newark, DE 19718 |
| Practice phone | 302-733-1806 |
| Enumerated | April 19, 2011 |
| Last updated | July 7, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | C1-0010245 (DE) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | C1-0010245 (DE) |
| Radiology, Vascular & Interventional Radiology primary | 2085R0204X | MD461182 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.