Individual
TIMOTHY B ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5640
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5640
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-075751
IL
207P00000X
Emergency Medicine Physician
Primary
268820
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075751
—
IL
Enumeration date
07/17/2006
Last updated
10/25/2016
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