Provider Demographics
NPI:1073594107
Name:REEKIE, TIMOTHY G (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:G
Last Name:REEKIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 820933
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0933
Mailing Address - Country:US
Mailing Address - Phone:267-440-2050
Mailing Address - Fax:267-440-2060
Practice Address - Street 1:1107 BETHLEHEM PIKE
Practice Address - Street 2:SUITE 210
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-1919
Practice Address - Country:US
Practice Address - Phone:267-440-2050
Practice Address - Fax:267-440-2060
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD022417E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007278000OtherTPI MA GROUP
PA597586OtherTPI MEDICARE GROUP PTAN
PACD4829OtherTPI RAILROAD MEDICARE GROUP