Vorderstrasse, Tricia L

Vorderstrasse, Tricia L is an sole proprietor health care provider with primary practice located at 725 Timpany Blvd Suite 106, Gardner MA 01440-3453. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vorderstrasse, Tricia L can be contacted via phone (978) 632-8100.

Contact Information

Primary practice address
725 Timpany Blvd Suite 106 Gardner MA 01440-3453
Fax: (978) 632-8400
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 215822 Massachusetts

Profile Details

NPI number 1619953247
LBN Legal business name Vorderstrasse, Tricia L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Mar 16th, 2018 - about 6 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 1619953247 NPPES
Massachusetts MEDICAID 0187071

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