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
Phone: (617) 658-9300
Fax: (617) 658-9399
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164429247 | NPPES |
Massachusetts | MEDICAID | 3169898 |
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