Healthcare Provider Details

I. General information

NPI: 1376531541
Provider Name (Legal Business Name): BJORN BIE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 01/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MEETING HOUSE RD SUITE 24
CHELMSFORD MA
01824-2738
US

IV. Provider business mailing address

3 MEETING HOUSE RD SUITE 24
CHELMSFORD MA
01824-2738
US

V. Phone/Fax

Practice location:
  • Phone: 978-256-5557
  • Fax: 978-256-1835
Mailing address:
  • Phone: 978-256-5557
  • Fax: 978-256-1835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number55731
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: