Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 026296 | CT |
NPI | 1033159645 |
---|---|
Provider Name | Dr. Allen I. Troy |
First Address | Stamford, CT 06902-3544 |
Second Address | Stamford, CT 06902-3544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 18/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B39409 | (02) |