Individual
DR. TIMOTHY J CANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
149 MADISON AVE RM 702, NEW YORK, NY 10016-6713
(917) 524-7246
(718) 509-6961
Mailing address
149 MADISON AVE RM 702, NEW YORK, NY 10016-6713
(917) 524-7246
(718) 509-6961
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
215688
MA
207L00000X
Anesthesiology Physician
237504
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
215688
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
237504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090031
—
MA
01
—
466528
TUFTS HEALTH PLAN
MA
01
—
J28261
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
04/28/2012
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