Doctor Name: | BRIAN M. TROTTA |
NPI Number: | 1780874917 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0116019242 |
Business Practice Address: | 722 Newman Rd New Bern, NC - 285625238 |
Business Phone Number: | 2526335057 |
Business Fax Number: | 2526330084 |
Mailing Address: | Po Box 3099, MYRTLE BEACH |
State: | SC |
Postal Code: | 295783099 |
Phone Number: | 8434672676 |
Fax Number: | 8434979566 |
NPI Enumeration Date: | 07/25/2007 |
NPI Last Update Date: | 11/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116019242 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy 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. |