Individual
TIMOTHY M HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 294-5000
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 294-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1311
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30228948
—
NH
Enumeration date
07/08/2006
Last updated
09/15/2011
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