Individual
DR. TIMOTHY J EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
529 TIMPANY BLVD, GARDNER, MA 01440-3451
(978) 878-8100
(978) 410-6109
Mailing address
529 TIMPANY BLVD, GARDNER, MA 01440-3451
(978) 878-8100
(978) 410-6109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80830
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320815
—
MA
01
—
221868
UGS
—
01
—
M18970
BLUE SHIELD OF MA
MA
Enumeration date
06/22/2005
Last updated
09/26/2025
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