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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TRISTAN GREGORY KOOISTRA, M.D.

Active

DR. TRISTAN GREGORY KOOISTRA, M.D. is a Pulmonary Disease healthcare provider located in BOSTON, Massachusetts. NPI 1205274305 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · BOSTON, MA

Registration Details

NPI Number
1205274305
Provider Type
Individual
Gender
Male
NPI Issued
Jun 11, 2013 (13.197885105561 yrs)
Last Updated
Apr 10, 2019
Licenses
256529 (MA)
276793 (MA)

Practice Information

Address
55 FRUIT ST
BOSTON, MA, 021142621
Browse MA providers · Browse ZIP 02114
Phone
6177249674
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Pulmonary Disease

Other Pulmonary Disease Providers in BOSTON, MA

Name Credential NPI
DR. ASHA ANANDAIAH MD 1184627481
DR. PO-SHUN LEE MD 1740284702
MIGUEL JOSE DIVO MD 1912993577
BARTOLOME R CELLI MD 1699762773
DR. AARON B WAXMAN M.D., PH.D 1669461810
DR. GEOFFREY SCOTT GILMARTIN M.D. 1770572851
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.