Individual
DR. EDWARD MARTIN TRISTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
17 CHURCH HILL RD, TRUMBULL, CT 06611-3116
(203) 696-3550
Mailing address
17 CHURCH HILL RD, TRUMBULL, CT 06611-3116
(203) 696-3550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038590
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001385906
—
CT
Enumeration date
08/22/2006
Last updated
07/21/2022
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