Individual
DR. GARNER TRIPP HAUPERT JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, GRB 1003 RENAL ASSOCIATES, BOSTON, MA 02114-2621
(617) 726-5050
(617) 724-1122
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
39854
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039854
TUFTS HEALTH PLAN
MA
05
—
2074516
—
MA
01
—
M09971
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
07/08/2007
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