Provider Demographics
NPI:1093275638
Name:TIMPANARO, DAVID (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:TIMPANARO
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 NEW RD STE A302
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-5624
Mailing Address - Country:US
Mailing Address - Phone:973-298-0763
Mailing Address - Fax:973-298-0763
Practice Address - Street 1:239 NEW RD STE A302
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-5624
Practice Address - Country:US
Practice Address - Phone:973-298-0763
Practice Address - Fax:973-298-0763
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health