MEDICARE: DR. NATHAN MERLIN TRITLE 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	207Y00000X	Otolaryngology Physician	MD61222747	WA
2	207Y00000X	Otolaryngology Physician	29088	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1285627281	OTHER	AZ	HEALTH NET
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1285627281	OTHER	AZ	AETNA
4	1285627281	OTHER	AZ	CIGNA
5	1285627281	OTHER	AZ	BCBS
6	1285627281	OTHER	AZ	UHC
7	1285627281	OTHER	AZ	AFMC
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	1285627281	OTHER	AZ	HMN

General Provider Information

NPI Number	:	1285627281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHAN MERLIN TRITLE MD

Provider Business Mailing Address
First Line	:	4700 POINT FOSDICK DR STE 320
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1706
Country	:	US
Telephone Number	:	253-426-6731
Fax Number	:	253-426-1064

Provider Business Practice Location Address
First Line	:	4700 POINT FOSDICK DR STE 320
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1706
Country	:	US
Telephone Number	:	253-426-6731
Fax Number	:	253-426-1064

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	10/17/2023

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Directions to “ DR. NATHAN MERLIN TRITLE MD” Practice Location

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