DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARIETTE TYEDMERS, CO

Active Sole Proprietor

Ocular Prosthetist · BOSTON, MA

Registration Details

NPI Number
1144489055
Provider Type
Individual
Gender
Female
NPI Issued
Jun 5, 2008 (17.881317804172 yrs)
Last Updated
Jun 5, 2008
Sole Proprietor
Yes

Practice Information

Address
300 LONGWOOD AVE DEPT OF
BOSTON, MA, 021155724
Browse MA providers · Browse ZIP 02115
Phone
6173556845
Fax
6177300392
Primary Specialty
Ocular Prosthetist
156FX1900X

Other Ocular Prosthetist Providers in BOSTON, MA

Name Credential NPI
MS. SARAH ELIZABETH MACKINNON OC(C), COMT 1295994317
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.