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Individual

DR. TRICIA L VORDERSTRASSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
725 TIMPANY BLVD, SUITE 106, GARDNER, MA 01440-3453
(978) 632-8100
(978) 632-8400
Mailing address
725 TIMPANY BLVD, SUITE 106, GARDNER, MA 01440-3453
(978) 632-8100
(978) 632-8400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
215822
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0187071
MA
Enumeration date
12/15/2005
Last updated
03/16/2018
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