Most Relevant Information
Provider Data
| NPI Number: | 1003202771 |
| Provider Name: | TIMOTHY EARLEY D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/09/2015 |
| Last Updated: | 04/20/2018 |
Provider Practice Location
1 MEDICAL CENTER DR
LEBANON
NH
037561000
Practice Location Phone/Fax
| Phone: | 2016940663 |
| Fax: |
Provider Mailing Location
1 MEDICAL CENTER DR
LEBANON
NH
037561000
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |