| NPI | 1902850357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J TIERNEY President 781-461-4543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0131X | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-10-11 |