Individual
DR. TIMOTHY ALLEN EMHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, UMASS MEMORIAL MEDICAL CENTER, WORCESTER, MA 01655-0002
(508) 856-1168
(508) 856-4224
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
57865
MA
2086S0102X
Surgical Critical Care Physician
Primary
57865
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110044801A
—
MA
05
—
3025403
—
MA
Enumeration date
03/23/2006
Last updated
04/24/2017
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