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Timothy Pendergrass, MD

NPI 1588651020 · on the registry since 2005

Practice

Address: 300 Tuskegee Blvd
436 Mdg Cc Ste 1b22
Dover Afb, DE 19902
Phone: (302) 677-2525
Fax: (302) 677-2526
Organisation at this address: 436th Medgrp-Dover
436th Medgrp-Dover
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 60

Registry record

Primary taxonomy: 2085R0202X
2085R0202X
Licence states on file: ND
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-01-22

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 Delaware