| Doctor Name: | JOHN J TIERNEY |
| NPI Number: | 1417913047 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 76683 |
| Business Practice Address: | 200 Providence Hwy Suite 202 Dedham, MA - 020261881 |
| Business Phone Number: | 7814614543 |
| Business Fax Number: | |
| Mailing Address: | 690 Canton St, Suite 325 WESTWOOD |
| State: | MA |
| Postal Code: | 020902321 |
| Phone Number: | 7814077713 |
| Fax Number: | 7814070998 |
| NPI Enumeration Date: | 04/22/2006 |
| NPI Last Update Date: | 01/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 76683 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |