Provider Demographics
NPI:1689653768
Name:BESCO, TIMOTHY ANDREW (RN)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:ANDREW
Last Name:BESCO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US NAVAL HOSPITAL
Mailing Address - Street 2:OSPEDALE MARINA VIA CONTRADO BOSCARIELLO
Mailing Address - City:GRICIGNANO DI AVERSA
Mailing Address - State:CE
Mailing Address - Zip Code:81031
Mailing Address - Country:IT
Mailing Address - Phone:081-811-6315
Mailing Address - Fax:
Practice Address - Street 1:US NAVAL HOSPITAL
Practice Address - Street 2:OSPEDALE MARINA VIA CONTRADO BOSCARIELLO
Practice Address - City:GRICIGNANO DI AVERSA
Practice Address - State:CE
Practice Address - Zip Code:81031
Practice Address - Country:IT
Practice Address - Phone:081-811-6315
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704230960163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse