Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY J HENDERSON, MD
ActiveTIMOTHY J HENDERSON, MD is a Sports Medicine (Orthopaedic) healthcare provider located in WAYNE, New Jersey. NPI 1326005307 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · WAYNE, NJ
Registration Details
- NPI Number
- 1326005307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2006 (20.347596341327 yrs)
- Last Updated
- Dec 29, 2020
- Licenses
-
A92330 (CA)52523 (GA)271409-1 (NY)25MA09165800 (NJ)25MA09165800 (NJ)
Practice Information
- Address
-
1055 HAMBURG TPKE STE 2WAYNE, NJ, 07470Browse NJ providers · Browse ZIP 07470
- Phone
- 9736160200
- Fax
- 9736161792
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.