Main Street Family Practice PC
NPI #1598739526 in Melrose, Massachusetts
Provider Information
- NPI Number
- 1598739526
- Entity Type
- Organization
- Organization Name
- Main Street Family Practice PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 15, 2006
- Last Updated
- Feb 24, 2011
Practice Location
- Address
- 675 MAIN ST
- City
- Melrose
- State
- Massachusetts
- ZIP Code
- 02176-3138
- Phone
- (781) 662-4934
Authorized Official
- Name
- TIMOTHY ARTHUR TIERNEY, M.D.,
- Title
- PRES.
- Phone
- (781) 662-4934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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