Individual
TIMOTHY SHIVELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
281 LINCOLN ST, MED STAFF SVCS, WORCESTER, MA 01605-2138
(508) 334-8015
Mailing address
281 LINCOLN ST, MED STAFF SVCS, WORCESTER, MA 01605-2138
(508) 334-8015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
233412
MA
207L00000X
Anesthesiology Physician
34086
NH
207LP3000X
Pediatric Anesthesiology Physician
Primary
C2499
KY
207LP3000X
Pediatric Anesthesiology Physician
OS21824
FL
207LP3000X
Pediatric Anesthesiology Physician
V7785
TX
Other
Enumeration date
07/02/2007
Last updated
02/02/2026
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