Anderson, Timothy Douglas

Anderson, Timothy Douglas is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd, Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Anderson, Timothy Douglas can be contacted via phone (781) 744-8450.

Contact Information

Primary practice address
Lahey Clinic 41 Mall Rd Burlington MA 01805-0001
Phone: (781) 744-8450
Fax: (781) 744-3440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 208958 Massachusetts

Profile Details

NPI number 1285682567
LBN Legal business name Anderson, Timothy Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 8th, 2012 - about 12 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 1285682567 NPPES
Massachusetts MEDICAID 110008165A

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