Individual
TIMOTHY MICHAEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 WASHINGTON ST, SUITE # 115, NORWOOD, MA 02062-3441
(781) 769-2503
(781) 769-2504
Mailing address
825 WASHINGTON ST, SUITE # 115, NORWOOD, MA 02062-3441
(781) 769-2503
(781) 769-2504
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
81721
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
81721
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3143007
—
MA
Enumeration date
09/09/2005
Last updated
09/06/2011
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