Organization
NORTHEAST ORTHOPEDIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J TIERNEY DO (PRESIDENT)
(781) 461-4543
Entity
Organization
Contact information
Practice address
200 PROVIDENCE HWY, SUITE 202, DEDHAM, MA 02026-1881
(781) 461-4543
(781) 326-2030
Mailing address
PO BOX 415044, BOSTON, MA 02241-5044
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
—
MA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
MA
208100000X
Physical Medicine & Rehabilitation Physician
—
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
MA
213E00000X
Podiatrist
—
MA
213ES0000X
Sports Medicine Podiatrist
—
MA
213ES0131X
Foot Surgery Podiatrist
—
MA
Other
Enumeration date
05/20/2006
Last updated
10/11/2007
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