MEDICARE: DR. IRENE TIEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	159223	MA
2	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	159223	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649220955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRENE TIEN MD

Provider Business Mailing Address
First Line	:	2 CLARENDON ST
Second Line	:	APT 702
City	:	BOSTON
State	:	MA
Zip	:	02116-6137
Country	:	US
Telephone Number	:	617-267-1217
Fax Number	:	617-267-1217

Provider Business Practice Location Address
First Line	:	91 E CONCORD ST
Second Line	:	RM 6215
City	:	BOSTON
State	:	MA
Zip	:	02118-2644
Country	:	US
Telephone Number	:	617-414-4397
Fax Number	:	617-414-4393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. IRENE TIEN MD” Practice Location

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