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
Phone: (978) 463-7770
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023018298 | NPPES |
Massachusetts | MEDICAID | 0116009 |
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