Anderson, Timothy Michael

Anderson, Timothy Michael is an individual health care provider with primary practice located at 825 Washington St Suite # 115, Norwood MA 02062-3441. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Anderson, Timothy Michael can be contacted via phone (781) 769-2503.

Contact Information

Primary practice address
825 Washington St Suite # 115 Norwood MA 02062-3441
Phone: (781) 769-2503
Fax: (781) 769-2504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 81721 Massachusetts
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 81721 Massachusetts

Profile Details

NPI number 1275527806
LBN Legal business name Anderson, Timothy Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Sep 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275527806 NPPES
Massachusetts MEDICAID 3143007

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