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Individual
MARY G. TIERNEY
Active
Individual
MARY G. TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
PAK000223
PA
207Q00000X
Family Medicine Physician
0101258266
VA
207Q00000X
Family Medicine Physician
D94419
MD
207Q00000X
Family Medicine Physician
Primary
MD456991
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
MD456991
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-0786906
FAMILY MEDICINE
PA
Enumeration date
03/29/2012
Last updated
01/05/2023
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