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Organization

MAIN STREET FAMILY PRACTICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY ARTHUR TIERNEY M.D., (PRES.)
(781) 662-4934
Entity
Organization

Contact information

Practice address
675 MAIN ST, MELROSE, MA 02176-3138
(781) 662-4934
(781) 662-4711
Mailing address
675 MAIN ST, MELROSE, MA 02176-3138
(781) 662-4934
(781) 662-4711

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
02/15/2006
Last updated
02/24/2011
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