Individual
DR. TIMOTHY J O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 PORTER AVE, JAMESTOWN, NY 14701-6221
(716) 483-2020
(716) 488-9295
Mailing address
27 PORTER AVE, JAMESTOWN, NY 14701-6221
(716) 483-2020
(716) 488-9295
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
195904
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001304520
—
PA
05
—
01507753
—
NY
Enumeration date
10/11/2005
Last updated
09/08/2010
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