Most Relevant Information
Provider Data
| NPI Number: | 1003569203 |
| Provider Name: | TRISTAN DANIELLE TOBIAS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 5601011025 |
Most Important Dates
| Enumeration Date: | 01/28/2022 |
| Last Updated: | 06/28/2024 |
Provider Practice Location
153 US ROUTE 1
SCARBOROUGH
ME
040749052
Practice Location Phone/Fax
| Phone: | 2077998596 |
| Fax: |
Provider Mailing Location
153 US ROUTE 1
SCARBOROUGH
ME
040749052
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |