| Tristan Medical, Pc | |
|
1340 Belmont St Brockton MA 02301-4404 | |
| (508) 583-1400 | |
| (774) 202-5661 |
| Full Name | Tristan Medical, Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1340 Belmont St, Brockton, Massachusetts |
| Authorized Official Name and Position | Julie S. Thibert (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5085831400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristan Medical, Pc 1340 Belmont St Brockton MA 02301-4404 Ph: (508) 583-1400 | Tristan Medical, Pc 1340 Belmont St Brockton MA 02301-4404 Ph: (508) 583-1400 |
| NPI Number | 1629459474 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629459474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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