Individual
TIMOTHY J YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
34TH STREET AND CIVIC CENTER BLVD, CAA/ SUITE 9329, PHILADELPHIA, PA 19104
(215) 590-1858
(215) 977-8351
Mailing address
100 N 20TH ST, CAA/ SUITE 200, PHILADELPHIA, PA 19103-1443
(215) 977-8100
(215) 977-8351
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS005684L
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
OS005684L
PA
Other
Enumeration date
07/03/2006
Last updated
09/11/2025
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