# TRICIA VORDERSTRASSE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356462410
- **Authorized official:** TRICIA VORDERSTRASSE MD (PRESIDENT)
- **Authorized official phone:** (978) 249-1791

## Contact information

- **Practice address:** 250 GREEN ST, SUITE 1 06, GARDNER, MA 01440-1396
- **Practice address phone:** (978) 249-1791
- **Practice address fax:** (978) 249-1794
- **Mailing address:** 250 GREEN ST, SUITE 106, GARDNER, MA 01440-1396
- **Mailing address phone:** (978) 249-1791
- **Mailing address fax:** (978) 249-1794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 215822 | MA | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 05/12/2011