Provider Demographics
NPI:1063473395
Name:O'MALLEY, TIMOTHY PATRICK II (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:PATRICK
Last Name:O'MALLEY
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:27 EFFINGHAM ST
Mailing Address - Street 2:NMCP OTOLARYNGOLOGY DEPT
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708
Mailing Address - Country:US
Mailing Address - Phone:757-953-2800
Mailing Address - Fax:757-953-0848
Practice Address - Street 1:27 EFFINGHAM ST
Practice Address - Street 2:NMCP OTOLARYNGOLOGY DEPT
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708
Practice Address - Country:US
Practice Address - Phone:757-953-2800
Practice Address - Fax:757-953-0848
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101238980207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology