Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 159020 | MA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 159020 | MA |
NPI | 1366541732 |
---|---|
Provider Name | Dr. John Francis Tilzey |
First Address | Burlington, MA 01805-0001 |
Second Address | Burlington, MA 01805-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 15/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3201775 | (05) | MA |
HO4434 | (02) | MA |