Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 2184 | MA |
NPI | 1053370312 |
---|---|
Provider Name | Dr. Timothy Michael Downs |
First Address | Chelmsford, MA 01824-1728 |
Second Address | Chelmsford, MA 01824-1728 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 19/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U90014 | (02) | MA |