Individual provider · Type 1 NPI

Pons Timothy Materum Iii, MD

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1861079220 Active

Practice location

University Hospital Level 2, Room 749
Stony Brook, NY 11794-0001

Call (651) 444-2224 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861079220

Pons Timothy Materum Iii, MD's National Provider Identifier is 1861079220, issued on Mar 24, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Mar 24, 2021.