Individual
TINA TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WASHINGTON ST # 437, BOSTON, MA 02111
(617) 636-5891
Mailing address
800 WASHINGTON ST # 437, BOSTON, MA 02111-1552
(617) 636-5891
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
275537
MA
Other
Enumeration date
04/08/2018
Last updated
06/17/2018
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