Smith, Timothy M

Smith, Timothy M is an individual health care provider with primary practice located at 100 Cummings Center, Ste 107C , Beverly MA 01915-6128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Smith, Timothy M can be contacted via phone (978) 232-1120.

Contact Information

Primary practice address
100 Cummings Center, Ste 107C Beverly MA 01915-6128
Phone: (978) 232-1120
Fax: (978) 232-0110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 217044 Massachusetts

Profile Details

NPI number 1649391715
LBN Legal business name Smith, Timothy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Oct 17th, 2019 - about 5 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 1649391715 NPPES
Massachusetts Other J41430 BCBS
Massachusetts Other 495848 BCBS
Massachusetts Other AA87602 BCBS

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