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General NPI Number Information
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NPI Number | 1154320265
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Entity Type | Individual
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Provider Name | TIMOTHY E GOSLEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 14 BRAMBLEBUSH PARK
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City | FALMOUTH
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State | MA
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Zip | 02540-2325
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Country | US
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Telephone | 508-540-0511
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Fax | 508-540-5186
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Provider Business Mailing Address
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Address Line | 14 BRAMBLEBUSH PARK
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City | FALMOUTH
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State | MA
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Zip | 02540-2325
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Country | US
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Telephone | 508-540-0511
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Fax | 508-540-5186
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 36509
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License Number State | MA
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