Individual
ISHA TIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
TUFTS MEDICAL CENTER, 800 WASHINGTON STREET, BOSTON, MA 02111
(617) 636-5000
Mailing address
19 CASTLE RD, NORTHBOROUGH, MA 01532-1248
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
279368
MA
207N00000X
Dermatology Physician
LP03600
RI
207R00000X
Internal Medicine Physician
264495
MA
Other
Enumeration date
06/29/2015
Last updated
09/16/2019
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