Philip Triffletti Md Pllc | |
25 Boylston St Ste 211 Chestnut Hill MA 02467-1710 | |
(617) 731-7774 | |
(617) 731-4534 |
Full Name | Philip Triffletti Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 25 Boylston St Ste 211, Chestnut Hill, Massachusetts |
Authorized Official Name and Position | Philip Triffletti (OWNER) |
Authorized Official Contact | 6177317774 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Philip Triffletti Md Pllc 25 Boylston St Ste 211 Chestnut Hill MA 02467-1710 Ph: (617) 731-7774 | Philip Triffletti Md Pllc 25 Boylston St Ste 211 Chestnut Hill MA 02467-1710 Ph: (617) 731-7774 |
NPI Number | 1538636410 |
---|---|
Provider Enumeration Date | 10/29/2018 |
Last Update Date | 03/27/2020 |
Medicare PECOS PAC ID | 0941549638 |
---|---|
Medicare Enrollment ID | O20190225000287 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538636410 | NPI | - | NPPES |
110055816A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Philip Triffletti |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861449001 PECOS PAC ID: 8325084569 Enrollment ID: I20050628001260 |
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