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Organization
BRAMBLEBUSH PEDIATRICS LLP
Active
Organization
BRAMBLEBUSH PEDIATRICS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIANNINA TIERNEY M.D. (MANAGING PARTNER)
(508) 548-6969
Entity
Organization
Contact information
Practice address
15 BRAMBLEBUSH PARK, FALMOUTH, MA 02540-2325
(508) 548-6969
(508) 540-2793
Mailing address
15 BRAMBLEBUSH PARK, FALMOUTH, MA 02540-2325
(508) 548-6969
(508) 540-2793
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9777369
—
MA
01
—
M15804
BLUE SHIELD
MA
Enumeration date
03/23/2006
Last updated
08/27/2009
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