Healthcare Provider Details

I. General information

NPI: 1841275765
Provider Name (Legal Business Name): TIMOTHY J. CAFFREY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USAMEDDAC WUERZBURG GRAFENWOEHR
APO AE
09114
DE

IV. Provider business mailing address

USAMEDDAC WUERZBURG ATTN: CREDENTIALS
APO AE
09244
DE

V. Phone/Fax

Practice location:
  • Phone: 011499641837152
  • Fax: 011499641836639
Mailing address:
  • Phone: 011499318043616
  • Fax: 011499318043241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20404
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: