person
Dr. Pons Timothy Materum III, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1861079220

Pons Timothy Materum III is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Pons Timothy Materum III practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Pons Timothy Materum III is 1861079220 and holds a License No. (New York).

The current practice location address for Pons Timothy Materum III is University Hospital Level 2, Room 749, Stony Brook, NY and can be reached out via phone at 651-444-2224.

Location: University Hospital Level 2, Room 749, Stony Brook, NY, 11794-0001
person
Provider Profile Details
NPI Number
1861079220
Provider Name
Pons Timothy Materum III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
University Hospital Level 2, Room 749, Stony Brook, NY, 11794-0001
Phone Number
651-444-2224
Fax Number
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
University Hospital Level 2, Room 749
City
State
Zip
11794-0001
Phone Number
651-444-2224
Fax Number
person
Provider Business Mailing Address Details
Address
University Hospital Level 2, Room 749
City
State
Zip
11794-0001
Phone Number
651-444-2224
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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