Crowley, Timothy

Crowley, Timothy is an individual health care provider with primary practice located at 22 Mill St Ste 208, Arlington MA 02476-4738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Crowley, Timothy can be contacted via phone (781) 646-2848.

Contact Information

Primary practice address
22 Mill St Ste 208 Arlington MA 02476-4738
Fax: (781) 643-4308
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 72550 Massachusetts

Profile Details

NPI number 1124025606
LBN Legal business name Crowley, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 4th, 2010 - about 14 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 1124025606 NPPES
Massachusetts MEDICAID 3081737

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