Doctor Name: | DR. CARRIE ANN TIMKO |
NPI Number: | 1447228978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD420479 |
Business Practice Address: | 610 High St Lock Haven, PA - 177453018 |
Business Phone Number: | 5707481260 |
Business Fax Number: | 5707481261 |
Mailing Address: | 1201 Grampian Blvd, Suite 1k WILLIAMSPORT |
State: | PA |
Postal Code: | 177011900 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/10/2006 |
NPI Last Update Date: | 10/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | MD420479 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |