Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 286554 | MA |
Y | 2082S0105X | Plastic Hand Surgeon | 286554 | MA |
NPI | 1740677889 |
---|---|
Provider Name | Dr. Irene Pien |
First Address | Boston, MA 02114-2696 |
Second Address | Boston, MA 02114-2696 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2015 |
Last Update Date | 01/07/2021 |