Whalio Doctors

NPI 1962619684

Timothy Marx Osborn, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Medford, MA

Practice location

Address
287 Middlesex Ave, Medford, MA 02155-5056
Phone
(617) 286-5780

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 243648 (MA)
Dentist
Dental Providers Taxonomy 122300000X Licence D8485 (OR)

Registry record

NPI
1962619684
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 May 2007
Record last updated
9 Jan 2023

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.