Provider Demographics
NPI:1437482478
Name:SCOTT, TIMOTHY EDWARD (MBBS,MRCP,FRCA)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:EDWARD
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MBBS,MRCP,FRCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 WATER ST
Mailing Address - Street 2:APPT 2201
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3203
Mailing Address - Country:US
Mailing Address - Phone:443-928-2362
Mailing Address - Fax:
Practice Address - Street 1:414 WATER ST
Practice Address - Street 2:APPT 2201
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3203
Practice Address - Country:US
Practice Address - Phone:443-928-2362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD51049171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider