Individual
TIMOTHY J DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
330 BROOKLINE AVE, YAMINS 219, BOSTON, MA 02215-5400
(617) 667-3364
(617) 667-5013
Mailing address
330 BROOKLINE AVE, YAMINS 219, BOSTON, MA 02215-5400
(617) 667-3364
(617) 667-5013
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2270440
MA
Other
Enumeration date
04/19/2011
Last updated
11/01/2016
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