Individual
DR. JOAN F TRYZELAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 CUMMINGS CTR STE 1800, BEVERLY, MA 01915
(978) 921-1210
(978) 921-1534
Mailing address
304 BROOKSBY VILLAGE DR UNIT 702, PEABODY, MA 01960-8590
(207) 415-1307
(207) 221-1526
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
010688
ME
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
010688
ME
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4066
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679819031
NPI NUMBER
ME
Enumeration date
12/12/2012
Last updated
08/28/2018
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