Provider Demographics
NPI:1134433436
Name:GIACOBBE, TIMOTHY MATTHEW (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:MATTHEW
Last Name:GIACOBBE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 HARMONY RD
Mailing Address - Street 2:
Mailing Address - City:GIBBSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08027-1702
Mailing Address - Country:US
Mailing Address - Phone:856-423-2944
Mailing Address - Fax:856-423-5873
Practice Address - Street 1:380 HARMONY RD
Practice Address - Street 2:
Practice Address - City:GIBBSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08027-1702
Practice Address - Country:US
Practice Address - Phone:856-423-2944
Practice Address - Fax:856-423-5873
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03302600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist