Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 74493 | MA |
NPI | 1023010527 |
---|---|
Provider Name | Scott G Tromanhauser |
First Address | Hingham, MA 02043-0086 |
Second Address | Boston, MA 02120-2847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 29/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3121429 | (05) | MA |
E88838 | (02) | MA |