Individual
TIMOTHY F. KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, DEPARTMENT OF GERIATRICS, BURLINGTON, MA 01805-0001
(781) 744-2086
(781) 744-5236
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-7000
(781) 744-5786
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
234497
MA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
0101-237793
VA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
234497
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110079801A
—
MA
05
—
2154358
—
MA
Enumeration date
12/02/2005
Last updated
11/16/2010
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