Provider Demographics
NPI:1669523445
Name:DUNN, TIMOTHY JOHN (MD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:JOHN
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:101 BURRS RD STE C
Practice Address - Street 2:
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-5517
Practice Address - Country:US
Practice Address - Phone:609-871-7500
Practice Address - Fax:609-444-5657
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2024-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4174092084N0400X
NJ25MA068475002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
31780OtherUNIVERSITY HEALTH PLAN
7977241OtherAETNA MANAGED CARE PPO
P2461104OtherOXFORD HEALTH PLAN
NJ1144837OtherHORIZON NJ HEALTH
88371OtherAMERIGROUP COMMUNITY SERV
130024166OtherRAILROAD MEDICARE
NJ1307875OtherPA BLUE SHIELD
3099728OtherGHI
NJ8533806Medicaid
2001491000OtherKEYSTONE HPE
2117099OtherUNITED HEALTHCARE
0949810003OtherCIGNA
1K8994OtherHEALTH NET
2001491000OtherAMERIHEALTH
2560325OtherAETNA HMO
363582900OtherUS DEPT OF LABOR W
01000282100OtherAMERICHOICE
7977241OtherAETNA MANAGED CARE PPO
P2461104OtherOXFORD HEALTH PLAN