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Wanderley Timas
NPI 1043706187 · on the registry since 2018
Practice
- Address
- 95 G St
South Boston, MA 02127 - Phone
- (617) 635-9870
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts