Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS019112L | PA |
NPI | 1083690358 |
---|---|
Provider Name | Dr. Raymond Carl Trop |
First Address | Pittsburgh, PA 15238-2226 |
Second Address | Pittsburgh, PA 15206-3710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 10/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0534481 | (05) | PA |
T71930 | (02) | PA |