Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARA AINSLEY TIETZEN, MD
Active Sole ProprietorDR. MARA AINSLEY TIETZEN, MD is a Sports Medicine (Pediatrics) healthcare provider located in BOSTON, Massachusetts. NPI 1831720903 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · BOSTON, MA
Registration Details
- NPI Number
- 1831720903
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2020 (6.5509697573028 yrs)
- Last Updated
- Jul 9, 2021
- Licenses
-
41268 (ZZ)283657 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 LONGWOOD AVEBOSTON, MA, 021155724Browse MA providers · Browse ZIP 02115
- Phone
- 8572184924
- Fax
- 6177300683
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
- Additional Specialty
- Sports Medicine (Pediatrics)
Other Sports Medicine (Pediatrics) Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| PETER K KRIZ | MD | 1881681310 |
| DR. ANDREA STRACCIOLINI | MD | 1982642559 |
| MRS. JOANA LOUISE FRASER | M.D. | 1801113220 |
| SARAH S. JACKSON | MD | 1356603799 |
| JEFFREY LO | MD | 1730506999 |
| MS. KRISTIN WHITNEY | M.D. | 1467870097 |
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.