Tina S Cleary is a Retina Specialist in Boston, Massachusetts. Tina S Cleary practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Tina S Cleary is 1649243221. The last update date is 2021-12-20.
Tina S Cleary's current location address is 50 Staniford St, Boston, Massachusetts. You can contact this provider via phone number 6173674800 and fax number 6177237028. The mailing address for Tina S Cleary is 50 Staniford St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina S Cleary |
|---|---|
| Address | 50 Staniford St, Boston, Massachusetts |
| Phone Number | 6173674800 |
| Fax Number | 6177237028 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1649243221 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2021-12-20 |
Provider Mailing Address Detail
| Address | 50 Staniford St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21142517 |
| Phone Number | 6173674800 |
| Fax Number | 6177237028 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 220298 |
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Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2074664 | MA | -- | |
| A3720702 | MA | PTAN | |
| J28155 | MA | BCBS MA |
Post Comment/ Review Below
What is the Tina S Cleary's 1649243221?
The Tina S Cleary's NPI (National Provider Identifier) Number is 1649243221. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tina S Cleary is physically located?
The Tina S Cleary is physically situated at the following address: 50 Staniford St, Boston, MA, 21142517.
What is Tina S Cleary's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tina S Cleary is Retina Specialist, and the taxonomy classification code that categorizes this area of expertise is 207Wx0107X.
When did the Tina S Cleary receive its 1649243221?
The Tina S Cleary was issued its 1649243221 on 2006-02-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Tina S Cleary most recently updated or revised?
The information pertaining to Tina S Cleary, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-20.
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