Provider Demographics
NPI:1518114362
Name:PINSKY, TIMMIE ANDREW (DO)
Entity Type:Individual
Prefix:
First Name:TIMMIE
Middle Name:ANDREW
Last Name:PINSKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 E ROUTE 70
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-1769
Mailing Address - Country:US
Mailing Address - Phone:856-988-7770
Mailing Address - Fax:856-988-7638
Practice Address - Street 1:55 E ROUTE 70
Practice Address - Street 2:SUITE 3
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1769
Practice Address - Country:US
Practice Address - Phone:856-988-7770
Practice Address - Fax:856-988-7638
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-23
Last Update Date:2008-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB50413202C00000X, 207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine