Individual
GRIFFIN A. TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 SOUTH ST, BOSTON, MA 02111-2826
(617) 318-3235
Mailing address
145 SOUTH ST, BOSTON, MA 02111-2826
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
290301
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110157142A
—
MA
Enumeration date
03/17/2019
Last updated
02/07/2025
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