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NPI Code Detail

MEDICARE: DR. DONNA M TIMCHAK MD

MEDICARE: DR. DONNA M TIMCHAK MD
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
12080P0202XPediatric Cardiology Physician25MA05469800NJ
22080P0202XPediatric Cardiology Physician167609NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689641623
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONNA M TIMCHAK MD
Provider Business Mailing Address
First Line : PO BOX 416457
Second Line :
City : BOSTON
State : MA
Zip : 02241-6457
Country : US
Telephone Number : 973-971-7163
Fax Number : 973-898-3905
Provider Business Practice Location Address
First Line : 100 MADISON AVE
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-6136
Country : US
Telephone Number : 973-971-5996
Fax Number : 973-290-7979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 06/03/2026

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