Individual
TIMOTHY R OMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 WILLOW ST, BUILDING C, SOUTH HAMILTON, MA 01982-2255
(978) 468-7346
(978) 468-6628
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-5100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75178
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3086631
—
MA
Enumeration date
09/26/2006
Last updated
12/27/2010
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