Timothy W Tolford OD

NPI 1063401578 - Optometrist - 152W00000X

NPI Details
NPI 1063401578
Gender Male
Enumeration Date 10/18/2005
Last Updated 01/17/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
PORTLAND ME, 04102-3323, US
Phone (207) 772-8384
Fax (207) 773-0020
Business Location
PO BOX 7487
PORTLAND ME, 04112-7487, US
Phone (207) 885-8686
Fax (207) 883-7154
Taxonomy Code 152W00000X
License State Maine
License Number OPT637
Remove 1063401578 NPI Number

According to our database, Dr. Timothy W Tolford OD NPI is 1063401578, taxonomy code is 152W00000X and license number is OPT637, license state is located at Maine. Timothy W Tolford OD physically located at 770 Congress St, Portland ME, 04102-3323. NPI Number Timothy W Tolford OD has the Individual type.

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1063401578 NPI number is provided on an as is basis without warranty of any kind. 1063401578 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy W Tolford OD are for informational purposes only.