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Individual

DR. TIMOTHY JOHN DALSASO

Active
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Individual

DR. TIMOTHY JOHN DALSASO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
224783
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2106582
MA
01
478702
TUFTS HEALTH PLAN
MA
01
A101314
MEDICAL LICENSE
CA
01
J28834
BCBS MA
MA
Enumeration date
11/15/2005
Last updated
05/06/2011
About Stedi
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