| Dutch Connection LLC | |
|
500 Cummings Ctr Ste 1800 Beverly MA 01915 | |
| (207) 415-1307 | |
| Not Available |
| Full Name | Dutch Connection LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Cummings Ctr Ste 1800, Beverly, Massachusetts |
| Authorized Official Name and Position | Joan Tryzelaar (OWNER/M.D.) |
| Authorized Official Contact | 2074151307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dutch Connection LLC 35 United Dr Ste 102 West Bridgewater MA 02379-1027 Ph: (508) 238-8646 | Dutch Connection LLC 500 Cummings Ctr Ste 1800 Beverly MA 01915 Ph: (207) 415-1307 |
| NPI Number | 1447703301 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 08/31/2018 |
| Medicare PECOS PAC ID | 7214288935 |
|---|---|
| Medicare Enrollment ID | O20180919002498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447703301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Joan F Tryzelaar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679819031 PECOS PAC ID: 2264733294 Enrollment ID: I20180220001073 |
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