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Individual
TRISTAN P DA CUNHA
Active
Individual
TRISTAN P DA CUNHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
213299
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01995248
—
NY
01
—
542184421
TAX ID
NV
Enumeration date
05/08/2008
Last updated
01/29/2019
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