Provider Demographics
NPI:1053370312
Name:DOWNS, TIMOTHY MICHAEL (DPM)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:MICHAEL
Last Name:DOWNS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 COURTHOUSE LN
Mailing Address - Street 2:SUITE 11
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1728
Mailing Address - Country:US
Mailing Address - Phone:978-441-9241
Mailing Address - Fax:978-970-0248
Practice Address - Street 1:4 COURTHOUSE LN
Practice Address - Street 2:SUITE 11
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1728
Practice Address - Country:US
Practice Address - Phone:978-441-9241
Practice Address - Fax:978-970-0248
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2184213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY75113Medicare ID - Type Unspecified
MAU90014Medicare UPIN