Organization
C.M.F.-CRANIO-MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY MARX OSBORN MD, DDS (OWNER)
(617) 628-8000
Entity
Organization
Contact information
Practice address
287 MIDDLESEX AVE, MEDFORD, MA 02155-5056
(617) 286-5780
Mailing address
366 BROADWAY STE 100, SOMERVILLE, MA 02145-2812
(617) 628-8000
(617) 628-2370
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
04/12/2019
Last updated
05/22/2025
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