Organization
TRISTAN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE S. THIBERT DO (MEDICAL DIRECTOR)
(508) 824-0243
Entity
Organization
Contact information
Practice address
184 W MAIN ST STE 2, NORTON, MA 02766-1241
(508) 824-0243
Mailing address
184 W MAIN ST STE 2, NORTON, MA 02766-1241
(508) 824-0243
(774) 202-5661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9749900
—
MA
01
—
M18009
PRACTICE GROUP # BCBS
MA
Enumeration date
11/13/2006
Last updated
03/10/2025
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