NPI Profile for Dr TIMOTHY M OSBORN in MEDFORD, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Dentist |
122300000X |
| NPI # | 1962619684 |
|
| Status | Active | |
| Credentials | DDS, MD | |
| Entity | Individual | |
| Enumeration date | 05/16/2007 | |
| Last updated | 01/09/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TIMOTHY M OSBORN
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