Mara Tietzen, MD
Mara Tietzen, MD holds NPI 1831720903, with a primary taxonomy of pediatric sports medicine physician and a practice location in Boston, MA. The number was issued on January 28, 2020 and the NPPES record was last updated on July 9, 2021. The record lists 2 taxonomy codes.
This record hasn't been updated in NPPES since 2021. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Sports Medicine Physician Primary | 2080S0010X | 283657 (MA) |
| Pediatrics Physician | 208000000X | 41268 (ZZ) |
Practice location
Local context
Active NPPES records list 16 providers with pediatric sports medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 14 of them within 10 miles.
The same primary taxonomy is listed by 17 in Massachusetts and 288 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Dr. Mara Ainsley Tietzen
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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