Individual
TIMOTHY T FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 W LANCASTER AVE, MOB III, SUITE 332, PAOLI, PA 19301-1763
(610) 647-3077
(610) 993-0668
Mailing address
PO BOX 252, BRYN MAWR, PA 19010
(610) 436-6529
(610) 436-6479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD029832E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011214120003
—
PA
Enumeration date
03/31/2006
Last updated
07/06/2010
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