Individual
TIMOTHY FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE ST, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02135-2907
(617) 789-2740
Mailing address
736 CAMBRIDGE ST, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02135-2907
(617) 789-2740
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
59953
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3045668
—
MA
Enumeration date
01/25/2007
Last updated
10/21/2024
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