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Dr. Tristan Gregory Kooistra, MD
Pulmonary Disease Physician in Boston, Massachusetts
NPI 1205274305

Tristan Gregory Kooistra is a Pulmonary Disease Physician based in Boston, MA and is specialized in Pulmonary Disease. Tristan Gregory Kooistra practices in Boston, MA and has the professional credentials of MD. The NPI Number for Tristan Gregory Kooistra is 1205274305 and holds a License No. 256529 (Massachusetts).

The current practice location address for Tristan Gregory Kooistra is 55 Fruit St, Boston, MA and can be reached out via phone at 617-724-9674.

Location: 55 Fruit St, Boston, MA, 02114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205274305
Provider Name
Tristan Gregory Kooistra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA, 02114
Phone Number
617-724-9674
Fax Number
Provider Enumeration Date
06/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2621
Phone Number
617-724-9674
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2621
Phone Number
617-724-9674
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
276793 (Massachusetts)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
256529 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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