NPI 1568424638
Timothy Jason Shaeffer
Practice location
- Address
- Building 5, Charlestown Navy Yard Uss Constitution, Charlestown, MA 02129-1797
- Phone
- (617) 799-8194
- Fax
- (617) 242-2308
- Mailing address
- 34 Wildwood Ln, Waltham, MA 02451-1859
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1568424638
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Apr 2006
- Record last updated
- 27 Dec 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.