Provider Demographics
NPI:1457320632
Name:REED, TIMOTHY C (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:C
Last Name:REED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:204 MAIN ST
Mailing Address - Street 2:ORLEANS MEDICAL CENTER, P.C.
Mailing Address - City:ORLEANS
Mailing Address - State:MA
Mailing Address - Zip Code:02653-3428
Mailing Address - Country:US
Mailing Address - Phone:508-255-8825
Mailing Address - Fax:508-240-3117
Practice Address - Street 1:204 MAIN ST
Practice Address - Street 2:ORLEANS MEDICAL CENTER, P.C.
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653-3428
Practice Address - Country:US
Practice Address - Phone:508-255-8825
Practice Address - Fax:508-240-3117
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2009-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA155999207Q00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080130574OtherRAILROAD MEDICARE
155999OtherTUFTS HEALTHCARE
01-00823OtherUNITED HEALTHCARE
MA28602OtherCHILDREN'S MEDICAL SECURI
MA3178382Medicaid
000000031976OtherBOSTON MEDICAL HEALTHNET
71898OtherHARVARD PILGRIM HEALTHCAR
MAJ19047OtherBLUE CROSS BLUE SHIELD
B1043810OtherCIGNA HEALTHCARE
000000031976OtherBOSTON MEDICAL HEALTHNET
MAJ19047OtherBLUE CROSS BLUE SHIELD