Individual
ANNA M. TIMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1302 S MAIN ST, WATERBURY, CT 06706-1748
(203) 756-8021
(203) 596-9038
Mailing address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
180857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111408
—
CT
05
—
01093136
—
NY
01
—
1013929769
ANTHEM BCBS
CT
Enumeration date
08/12/2006
Last updated
07/21/2022
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