Provider Demographics
NPI:1851727341
Name:TEARNEY, GUILLERMO JAMES (MD, PHD)
Entity Type:Individual
Prefix:PROF
First Name:GUILLERMO
Middle Name:JAMES
Last Name:TEARNEY
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:BHX 604A
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-724-2979
Mailing Address - Fax:617-726-4103
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:BHX 604A
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-2979
Practice Address - Fax:617-726-4103
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
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Provider Licenses
StateLicense IDTaxonomies
MA209009207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology