Individual
ELIZABETH TISEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1290 TREMONT ST, ROXBURY, MA 02120-3432
(617) 989-3173
(617) 989-3068
Mailing address
1290 TREMONT ST, ROXBURY, MA 02120-3432
(617) 989-3173
(617) 989-3068
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
256381
MA
Other
Enumeration date
06/05/2013
Last updated
02/01/2017
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