Provider Demographics
NPI:1548471907
Name:VOGEL, TIMOTHY WALTER (MD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:WALTER
Last Name:VOGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:680 KINDERKAMACK RD
Mailing Address - Street 2:SUIT 300
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1600
Mailing Address - Country:US
Mailing Address - Phone:201-881-7869
Mailing Address - Fax:201-342-7171
Practice Address - Street 1:304 SW 15TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6534
Practice Address - Country:US
Practice Address - Phone:352-401-8817
Practice Address - Fax:352-401-8822
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2012008252207T00000X
CODR.0071373207T00000X
MDD0103088207T00000X
NJ25MA09977300207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery