NPI 1144489055

Mariette Tyedmers, CO

Practitioner Orthoptist Boston, MA

Practice location

Address: 300 Longwood Ave Dept of, Boston, MA 02115-5724
Phone: (617) 355-6845
Fax: (617) 730-0392
Mailing address: 57 Magee St, Cambridge, MA 02139-2915

Registered specialties

Orthoptist Primary

Eye and Vision Services Providers Taxonomy 156FX1900X

Other Technician/Technologist providers in Massachusetts →

Registry record

NPI: 1144489055
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2008
Record last updated: 5 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.