Basic Information
| Provider Information | |||||||||
| NPI: | 1669523445 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUNN | ||||||||
| FirstName: | TIMOTHY | ||||||||
| MiddleName: | JOHN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 301 LIPPINCOTT DR STE 410 | ||||||||
| Address2: | |||||||||
| City: | MARLTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080534197 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563550340 | ||||||||
| FaxNumber: | 8563550330 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 BURRS RD STE C | ||||||||
| Address2: | |||||||||
| City: | WESTAMPTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080605517 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6098717500 | ||||||||
| FaxNumber: | 6094445657 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2007 | ||||||||
| LastUpdateDate: | 11/05/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0400X | 25MA06847500 | NJ | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | 2084N0400X | MD417409 | PA | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
ID Information
| ID | Type | State | Issuer | Description | 1144837 | 01 | NJ | HORIZON NJ HEALTH | OTHER | P2461104 | 01 | OXFORD HEALTH PLAN | OTHER | 88371 | 01 | AMERIGROUP COMMUNITY SERV | OTHER | 1K8994 | 01 | HEALTH NET | OTHER | 2001491000 | 01 | KEYSTONE HPE | OTHER | 0949810003 | 01 | CIGNA | OTHER | 130024166 | 01 | RAILROAD MEDICARE | OTHER | 1307875 | 01 | NJ | PA BLUE SHIELD | OTHER | 2001491000 | 01 | AMERIHEALTH | OTHER | 2117099 | 01 | UNITED HEALTHCARE | OTHER | 2560325 | 01 | AETNA HMO | OTHER | 363582900 | 01 | US DEPT OF LABOR W | OTHER | 7977241 | 01 | AETNA MANAGED CARE PPO | OTHER | 01000282100 | 01 | AMERICHOICE | OTHER | 31780 | 01 | UNIVERSITY HEALTH PLAN | OTHER | 8533806 | 05 | NJ | MEDICAID | 3099728 | 01 | GHI | OTHER |