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Individual

TRISTRAM C DAMMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
41 MALL RAOD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5659
Mailing address
41 MALL RAOD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5659

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42019
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6199666
MA
Enumeration date
04/30/2007
Last updated
01/08/2008
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