Individual
MR. MATTHEW J TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
46 OBERY ST, PLYMOUTH, MA 02360-2237
(508) 746-6385
(508) 747-6685
Mailing address
46 OBERY ST, PLYMOUTH, MA 02360-2237
(508) 746-6385
(508) 747-6685
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
217632
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1701676
UNITED HEALTHCARE
MA
05
—
2036070
—
MA
01
—
3657254
AETNA/US HEALTHCARE
MA
01
—
468752
TUFTS HEALTH PLAN
MA
01
—
AA15261
HARVARD PILGRIM HEALTHCAR
MA
01
—
J27151
BCBSMA
MA
Enumeration date
12/16/2005
Last updated
07/05/2022
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