Individual
AMY L TIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LAHEY CLINIC INC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-5100
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
229263
MA
207RG0100X
Gastroenterology Physician
Primary
229263
MA
207RT0003X
Transplant Hepatology Physician
229263
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086546A
—
MA
Enumeration date
07/12/2006
Last updated
11/16/2010
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