Individual
DR. PATRICK M TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER, PCAM - RADIATION ONCOLOGY TRC 2 WEST, PHILADELPHIA, PA 19104
(215) 662-2428
Mailing address
3400 CIVIC CENTER, PCAM - RADIATION ONCOLOGY TRC 2 WEST, PHILADELPHIA, PA 19104
(215) 662-2428
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
48025
WI
2085R0001X
Radiation Oncology Physician
Primary
MD446653
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039906262H
HUMANA
—
05
—
34638200
—
WI
Enumeration date
05/15/2006
Last updated
09/10/2015
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