Individual
MARK A TROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
845 N MAIN ST, SUITE 3, PROVIDENCE, RI 02904-5700
(401) 521-7300
(401) 521-7307
Mailing address
23 TYLER ST, ATTLEBORO, MA 02703-5813
(508) 226-3544
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1279
MA
363A00000X
Physician Assistant
Primary
PA00053
RI
363AM0700X
Medical Physician Assistant
1279
MA
363AM0700X
Medical Physician Assistant
PA00053
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023500
BCBS OF RI
RI
01
—
PA00053
UHP RI
RI
Enumeration date
04/21/2006
Last updated
02/28/2008
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