Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 78631 | MA |
N | 111NI0900X | Internist | 78631 | MA |
N | 207RP1001X | Pulmonary Disease | 78631 | MA |
NPI | 1043281116 |
---|---|
Provider Name | James R. Tierney |
First Address | Gardner, MA 01440-3926 |
Second Address | Gardner, MA 01440-3926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 05/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F63825 | (02) |