Individual
DR. RICHARD GRAD TRAISTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 HIGHLAND AVE, SUITE 2, NEWBURYPORT, MA 01950-3872
(978) 463-7770
Mailing address
6 SUMMERSWEET LN, WEST NEWBURY, MA 01985-1847
(978) 363-2484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46413
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116009
—
MA
Enumeration date
07/28/2005
Last updated
07/08/2007
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