Organization
TRIAD OB GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L TRIPP D.O. (PRESIDENT/ OWNER)
(508) 295-5289
Entity
Organization
Contact information
Practice address
13 SAWYER ST, WAREHAM, MA 02571-2003
(508) 295-5197
(508) 291-0579
Mailing address
13 SAWYER ST, WAREHAM, MA 02571-2003
(508) 295-5197
(508) 291-0579
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
667854
TUFTS
MA
05
—
9789354
—
MA
01
—
M16985
BLUE CROSS
MA
Enumeration date
08/15/2006
Last updated
08/22/2020
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