Individual
DR. EMILY PATRICIA TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 YARMOUTH RD, HYANNIS, MA 02601-3040
(508) 957-1650
(508) 957-1655
Mailing address
120 YARMOUTH RD, HYANNIS, MA 02601-3040
(508) 957-1650
(508) 957-1655
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
238976
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
238976
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083260A
—
MA
Enumeration date
05/24/2007
Last updated
05/14/2019
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