Traister, Richard Grad

Traister, Richard Grad is an individual health care provider with primary practice located at 21 Highland Ave Suite 2, Newburyport MA 01950-3872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Traister, Richard Grad can be contacted via phone (978) 463-7770.

Contact Information

Primary practice address
21 Highland Ave Suite 2 Newburyport MA 01950-3872
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46413 Massachusetts

Profile Details

NPI number 1023018298
LBN Legal business name Traister, Richard Grad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 17 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 1023018298 NPPES
Massachusetts MEDICAID 0116009

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