Individual
TIMOTHY E SOULE-REGINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 S MAIN ST, STE 1, ATHOL, MA 01331-2117
(978) 248-3840
(978) 249-7227
Mailing address
201 S MAIN ST, STE 1, ATHOL, MA 01331-2117
(978) 248-3840
(978) 249-7227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70502
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047709
—
MA
Enumeration date
07/26/2005
Last updated
03/14/2016
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