Provider Demographics
NPI:1366557258
Name:DOOLEY, TIMOTHY RUPERT (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:RUPERT
Last Name:DOOLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3446 PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-5209
Mailing Address - Country:US
Mailing Address - Phone:619-297-8641
Mailing Address - Fax:619-272-9474
Practice Address - Street 1:2525 CAMINO DEL RIO S STE 130
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3718
Practice Address - Country:US
Practice Address - Phone:619-297-8641
Practice Address - Fax:619-272-9474
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG69284207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine