Individual
DR. TIMOTHY JOSEPH KUBICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
(781) 407-0998
Mailing address
790 WILLARD ST, APT 307, QUINCY, MA 02169-7478
(617) 620-0677
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
231440
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2139812
—
MA
Enumeration date
01/20/2007
Last updated
02/11/2010
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