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1104895648
TIMOTHY A THEOBALD
SANFORD, ME
NPI
1104895648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ME 1523)
Enumeration Date
2006-03-16
Last Update Date
2019-04-01
Business Address
TIMOTHY A THEOBALD DO
25A JUNE ST STE 111
SANFORD, ME 04073-2642
Phone number: 207-490-7998
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Mailing Address
TIMOTHY A THEOBALD DO
1 MEDICAL CENTER DR
BIDDEFORD, ME 04005-9422
Phone number: 207-282-9080
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