Cornelius T. Tyrrell M.D.
Pediatrics Physician in Worcester, MA(View on Map)
Full Name
Cornelius T Tyrrell M.D.
NPI Number
1023154697
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/30/2007
Specialties
(Taxonomies)Licenses
State
Massachusetts
License Number
237352
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 415348
55 LAKE AVE N
City
Boston
Worcester
State
MA
MA
Postal Code
02241-5348
01655-0002
Country
US
US
Telephone Number
(800) 225-8885
(508) 334-7986
Identifiers
Identifier
110084107A
Identifier State
MA
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
FHIR
Endpoint
ctyrrell23901@UmassMemorial.direct-ci.com
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Endpoint Description
Unknown
Unknown
Use
Unknown
Unknown
Content Type
Unknown
Unknown
Affiliation
N
N
Endpoint Location
55 Lake Ave NDepartment of PediatricsWorcester, MA016550002US
55 Lake Ave NDepartment of PediatricsWorcester, MA016550002US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/27/2020
Provider Address
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