Dammin, Tristram C

Dammin, Tristram C is an individual health care provider with primary practice located at 41 Mall Raod , Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dammin, Tristram C can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
41 Mall Raod Burlington MA 01805-0001
Fax: (781) 744-5659
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 42019 Massachusetts

Profile Details

NPI number 1730309899
LBN Legal business name Dammin, Tristram C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2007
Last updated Jan 8th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730309899 NPPES
Massachusetts MEDICAID 6199666

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