| Doctor Name: | TIMOTHY JOSEPH MCSORLEY |
| NPI Number: | 1205185485 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ANP-BC |
| License Number: | SP011365 |
| Business Practice Address: | 5260 Lake Road Newfield, NJ - 083445217 |
| Business Phone Number: | 8566945437 |
| Business Fax Number: | |
| Mailing Address: | 5260 Lake Road, NEWFIELD |
| State: | NJ |
| Postal Code: | 083445217 |
| Phone Number: | 8566945437 |
| Fax Number: | |
| NPI Enumeration Date: | 09/05/2012 |
| NPI Last Update Date: | 09/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | SP011365 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |