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NPI Code Detail

MEDICARE: DR. TIMOTHY GARMAN COOK DO

MEDICARE: DR. TIMOTHY GARMAN COOK DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianC2-0002293DE

General Provider Information

NPI Number : 1285737122
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY GARMAN COOK DO
Provider Business Mailing Address
First Line : 131 PARRISH LANE
Second Line :
City : WILMINGTON
State : DE
Zip : 19820-3457
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 131 PARRISH LN
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-3457
Country : US
Telephone Number : 215-823-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 07/21/2022

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Directions to “ DR. TIMOTHY GARMAN COOK DO” Practice Location

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