MEDICARE: ROBERT J TRIPP MD

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
1	208600000X	Surgery Physician	195779	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	020024557	OTHER	NY	MEDICARE TRAVELERS

Other Identifiers

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

General Provider Information

NPI Number	:	1073503827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J TRIPP MD

Provider Business Mailing Address
First Line	:	360 LINDEN OAKS
Second Line	:	STE 300
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2814
Country	:	US
Telephone Number	:	585-383-8830
Fax Number	:	585-383-8901

Provider Business Practice Location Address
First Line	:	360 LINDEN OAKS
Second Line	:	STE 300
City	:	ROCHESTER
State	:	NY
Zip	:	14625-2814
Country	:	US
Telephone Number	:	585-383-8830
Fax Number	:	585-383-8901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	03/21/2014

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Directions to “ ROBERT J TRIPP MD” Practice Location

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