Individual
EDWIN M TRAYNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE ST, SETON PAVILLION, 3RD FLOOR, BRIGHTON, MA 02135-2907
(617) 789-2548
(617) 562-7756
Mailing address
77 WARREN ST, RM 339, BRIGHTON, MA 02135
(617) 562-5359
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
76062
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3137031
—
MA
Enumeration date
11/08/2005
Last updated
02/18/2009
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