Provider Demographics
NPI:1851404560
Name:YEH, TIMOTHY STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:STEPHEN
Last Name:YEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:94 OLD SHORT HILLS RD
Mailing Address - Street 2:SAINT BARNABAS MEDICAL CENTER
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5672
Mailing Address - Country:US
Mailing Address - Phone:973-322-5691
Mailing Address - Fax:973-322-5504
Practice Address - Street 1:94 OLD SHORT HILLS RD
Practice Address - Street 2:SAINT BARNABAS MEDICAL CENTER
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5672
Practice Address - Country:US
Practice Address - Phone:973-322-5691
Practice Address - Fax:973-322-5504
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA072567002080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8672806Medicaid
NJ052330Medicare ID - Type Unspecified
NJ8672806Medicaid