Individual
DR. TIMOTHY MARX OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
287 MIDDLESEX AVE, MEDFORD, MA 02155-5056
(617) 286-5780
Mailing address
287 MIDDLESEX AVE, MEDFORD, MA 02155-5056
(617) 447-3980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D8485
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
243648
MA
Other
Enumeration date
05/16/2007
Last updated
01/09/2023
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