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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1649220955 NPPES
Massachusetts MEDICAID 3193233

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