Healthcare Provider Details

I. General information

NPI: 1881610970
Provider Name (Legal Business Name): ANNE MARIA TIMMERMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 WASHINGTON ST
CANTON MA
02021-4004
US

IV. Provider business mailing address

4 WASHINGTON ST
CANTON MA
02021-4004
US

V. Phone/Fax

Practice location:
  • Phone: 781-784-9212
  • Fax: 781-784-7671
Mailing address:
  • Phone: 781-784-9212
  • Fax: 781-784-7671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number261406
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: