# C.M.F.-CRANIO-MAXILLOFACIAL SURGERY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750844080
- **Authorized official:** DR. TIMOTHY MARX OSBORN MD, DDS (OWNER)
- **Authorized official phone:** (617) 628-8000

## Contact information

- **Practice address:** 287 MIDDLESEX AVE, MEDFORD, MA 02155-5056
- **Practice address phone:** (617) 286-5780
- **Mailing address:** 366 BROADWAY STE 100, SOMERVILLE, MA 02145-2812
- **Mailing address phone:** (617) 628-8000
- **Mailing address fax:** (617) 628-2370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/12/2019
- **Last updated:** 05/22/2025