Individual
TIMOTHY MICHAEL BUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8705
Mailing address
139 STRATFORD ST, WEST ROXBURY, MA 02132-2137
(617) 327-4417
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
73200
MA
Other
Enumeration date
05/30/2006
Last updated
08/12/2010
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