Provider Demographics
NPI:1124180583
Name:TENTINDO, CHRISTINE CIERRA (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:CIERRA
Last Name:TENTINDO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:212 HUMPHREY ST
Mailing Address - Street 2:#203
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945
Mailing Address - Country:US
Mailing Address - Phone:781-639-6060
Mailing Address - Fax:978-927-7429
Practice Address - Street 1:75 HERRICK ST
Practice Address - Street 2:#119 BEVERLY PEDIATRICS
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915
Practice Address - Country:US
Practice Address - Phone:978-922-3208
Practice Address - Fax:978-927-7429
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA48680208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
F08345Medicare UPIN