Individual
PAUL C. TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2193
(978) 937-6000
Mailing address
180 GREEN ST APT 307, MELROSE, MA 02176-1938
(781) 439-7086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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