| Philip Triffletti MD PLLC | |
|
25 Boylston St Ste 211 Chestnut Hill MA 02467-1710 | |
| (617) 731-7774 | |
| (617) 731-4534 |
| Full Name | Philip Triffletti MD PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Boylston St Ste 211, Chestnut Hill, Massachusetts |
| Authorized Official Name and Position | Philip Triffletti (OWNER) |
| Authorized Official Contact | 6177317774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Triffletti MD PLLC 25 Boylston St Ste 211 Chestnut Hill MA 02467-1710 Ph: (617) 731-7774 | Philip Triffletti MD PLLC 25 Boylston St Ste 211 Chestnut Hill MA 02467-1710 Ph: (617) 731-7774 |
| NPI Number | 1538636410 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 03/27/2020 |
| Certification Date | 03/27/2020 |
| Medicare PECOS PAC ID | 0941549638 |
|---|---|
| Medicare Enrollment ID | O20190225000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538636410 | NPI | - | NPPES |
| 110055816A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Philip Triffletti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861449001 PECOS PAC ID: 8325084569 Enrollment ID: I20050628001260 |
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