Individual
DR. TIMOTHY DOUGLAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8450
(781) 744-3440
Mailing address
LAHEY CLINIC, 41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8450
(781) 744-3440
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
208958
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110008165A
—
MA
Enumeration date
05/05/2006
Last updated
11/08/2012
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