person
Dr. Elizabeth Anne Thiele, MDPHD
Neurology with Special Qualifications in Child Neurology Physician in Boston, Massachusetts
NPI 1982670535

Elizabeth Anne Thiele is a Neurology with Special Qualifications in Child Neurology Physician based in Charlestown, MA and is specialized in Neurology with Special Qualifications in Child Neurology. Elizabeth Anne Thiele practices in Boston, MA and has the professional credentials of MDPHD. The NPI Number for Elizabeth Anne Thiele is 1982670535 and holds a License No. 79261 (Massachusetts).

The current practice location address for Elizabeth Anne Thiele is 55 Fruit St Yaw 6B, Boston, MA and can be reached out via phone at 617-726-6540 and via fax at 617-726-0230. You can also correspond with Elizabeth Anne Thiele through the mailing address at PO BOX 9142, CHARLESTOWN, MA - 02129-9142 (mailing address contact number: 617-726-6540).

Location: 55 Fruit St Yaw 6B, Boston, MA, 02129-9142
person
Provider Profile Details
NPI Number
1982670535
Provider Name
Elizabeth Anne Thiele
Credential
MDPHD
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St Yaw 6B, Boston, MA, 02129-9142
Phone Number
617-726-6540
Fax Number
617-726-0230
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3147088 05 MA
J16820 01 MA BCBS MA
079261 01 MA TUFTS HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
55 Fruit St Yaw 6B
City
State
Zip
02114
Phone Number
617-726-6540
Fax Number
617-726-0230
person
Provider Business Mailing Address Details
Address
55 Fruit St Yaw 6B
City
State
Zip
02114
Phone Number
617-726-6540
Fax Number
617-726-0230
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
License No.
79261 (Massachusetts)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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