Tien, Irene
Tien, Irene is an individual health care provider with primary practice located at 91 E Concord St Rm 6215, Boston MA 02118-2644. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Tien, Irene can be contacted via phone (617) 414-4397.Contact Information
Primary practice address
91 E Concord St Rm 6215
Boston MA 02118-2644
Phone: (617) 414-4397
Fax: (617) 414-4393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 159223 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 159223 | Massachusetts |
Profile Details
| NPI number | 1649220955 |
|---|---|
| LBN Legal business name | Tien, Irene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649220955 | NPPES |
| Massachusetts | MEDICAID | 3193233 |
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