Individual
MR. TIMOTHY T. GOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543-4047
(207) 563-4250
(207) 563-4246
Mailing address
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543-4047
(207) 563-4250
(207) 563-4246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
013711
ME
207Q00000X
Family Medicine Physician
Primary
MD13711
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326540099
—
ME
Enumeration date
09/20/2005
Last updated
10/10/2018
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