Basic Information
| Provider Information | |||||||||
| NPI: | 1851566780 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TRUTT | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D.,C.M. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 250 PARADISE RD | ||||||||
| Address2: | |||||||||
| City: | SWAMPSCOTT | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019072948 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7815962000 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 369 HARVARD ST | ||||||||
| Address2: | APARTMENT #3 | ||||||||
| City: | BROOKLINE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024462910 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6178799808 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/22/2008 | ||||||||
| LastUpdateDate: | 01/06/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 225767 | MA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.