Individual
ROBERT E TIMBERLAKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
147 COURT STREET, PLYMOUTH, MA 02360
(508) 746-6710
(508) 830-1117
Mailing address
147 COURT STREET, PLYMOUTH, MA 02360
(508) 746-6710
(508) 830-1117
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
37158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009445
AETNA
—
01
—
037158
TUFTS
—
05
—
2033216
—
MA
01
—
491323
US FAMILY HEALTH PLAN
—
01
—
6064
HPHC
—
01
—
P00928650
RR MEDICARE
—
01
—
TIC05109
BCBS
—
Enumeration date
06/10/2005
Last updated
09/12/2008
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