Healthcare Provider Details

I. General information

NPI: 1811955487
Provider Name (Legal Business Name): TIMOTHY L JAMESON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 ALLENTOWN PIKE SUITE 1
BLANDON PA
19510-9460
US

IV. Provider business mailing address

8500 ALLENTOWN PIKE SUITE 1
BLANDON PA
19510
US

V. Phone/Fax

Practice location:
  • Phone: 610-926-3669
  • Fax:
Mailing address:
  • Phone: 610-926-3669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS005597L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: