Provider Demographics
NPI:1174681837
Name:MORLEY, TIMOTHY JOHN (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:JOHN
Last Name:MORLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25100 EUCLID AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-2648
Mailing Address - Country:US
Mailing Address - Phone:216-731-9215
Mailing Address - Fax:216-731-5456
Practice Address - Street 1:25100 EUCLID AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-2648
Practice Address - Country:US
Practice Address - Phone:216-731-9215
Practice Address - Fax:216-731-5456
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34007119-M207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine