Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD3751 | DC |
NPI | 1205269313 |
---|---|
Provider Name | Dr. Charles Jerome Trotman |
First Address | Washington, DC 20015-2233 |
Second Address | Washington, DC 20015-2233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2013 |
Last Update Date | 12/08/2013 |