Individual
MR. TIMOTHY W O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
240 S MAIN ST, WOLFEBORO, NH 03894-4411
(603) 515-2093
(603) 515-2031
Mailing address
240 S MAIN ST, WOLFEBORO, NH 03894-4411
(603) 515-2093
(603) 515-2031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
454
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077612
—
NH
Enumeration date
04/03/2007
Last updated
04/05/2021
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