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Search › Massachusetts › 2080S0010X

Mara Tietzen, MD

NPI 1831720903 · on the registry since 2020 · sole proprietor

Practice

Address
300 Longwood Ave
Boston, MA 02115
Phone
(857) 218-4924
Fax
(617) 730-0683
Organisation at this address
Bch Dental Group
Boston Childrens Hospital
Childrens Hospital Boston
Childrens Hospital Boston
Boston Childrens Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4,018

Registry record

Primary taxonomy
2080S0010X
2080S0010X
Also registered as
208000000X
Licence states on file
ZZ, MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts