Healthcare Provider Details

I. General information

NPI: 1770220949
Provider Name (Legal Business Name): TIMOTHY MICHAEL BINNS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 EASTON AVE
BETHLEHEM PA
18017-4204
US

IV. Provider business mailing address

22 RIDGE RD
RUMSON NJ
07760-1907
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-3555
  • Fax: 833-822-5230
Mailing address:
  • Phone: 732-284-8216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMT226403
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: