Provider Demographics
NPI:1194760348
Name:TIMM MEDICAL TECHNOLOGIES, INC.
Entity type:Organization
Organization Name:TIMM MEDICAL TECHNOLOGIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:H
Authorized Official - Last Name:GESEK
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:484-919-0516
Mailing Address - Street 1:540 PENNSYLVANIA AVE.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034
Mailing Address - Country:US
Mailing Address - Phone:800-438-8592
Mailing Address - Fax:800-438-8511
Practice Address - Street 1:540 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034
Practice Address - Country:US
Practice Address - Phone:800-438-8592
Practice Address - Fax:800-438-8511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
3798620OtherAETNA
MN5290180001Medicare NSC