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NPI Code Detail

MEDICARE: PHILIP TRIFFLETTI MD PLLC

MEDICARE: PHILIP TRIFFLETTI MD PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538636410
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHILIP TRIFFLETTI MD PLLC
Provider Business Mailing Address
First Line : 25 BOYLSTON ST STE 211
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-1710
Country : US
Telephone Number : 617-731-7774
Fax Number : 617-731-4534
Provider Business Practice Location Address
First Line : 25 BOYLSTON ST STE 211
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-1710
Country : US
Telephone Number : 617-731-7774
Fax Number : 617-731-4534
Authorized Official
Title or Position : OWNER
Name : DR. PHILIP TRIFFLETTI
Credential : MD
Telephone Number : 617-731-7774
Provider Enumeration Date : 10/29/2018
Last Update Date : 03/27/2020

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