Cleary, Tina S

Cleary, Tina S is an individual health care provider with primary practice located at 50 Staniford St Suite 600, Boston MA 02114-2517. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Cleary, Tina S can be contacted via phone (617) 367-4800.

Contact Information

Primary practice address
50 Staniford St Suite 600 Boston MA 02114-2517
Phone: (617) 367-4800
Fax: (617) 723-7028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 220298 Massachusetts
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 220298 Massachusetts

Profile Details

NPI number 1649243221
LBN Legal business name Cleary, Tina S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Dec 20th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649243221 NPPES
Massachusetts MEDICAID 2074664
Massachusetts Other A3720702
Massachusetts Other J28155

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