Quinn, Timothy Robert

Quinn, Timothy Robert is an individual health care provider with primary practice located at 2 Wells Ave , Newton MA 02459-3225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Quinn, Timothy Robert can be contacted via phone (617) 658-9300.

Contact Information

Primary practice address
2 Wells Ave Newton MA 02459-3225
Fax: (617) 658-9399
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 154160 Massachusetts

Profile Details

NPI number 1164429247
LBN Legal business name Quinn, Timothy Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Sep 16th, 2019 - about 6 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 1164429247 NPPES
Massachusetts MEDICAID 3169898

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