Organization
EUDALDO J. TRONCOSO, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUDALDO J. TRONCOSO M.D. (OWNER)
(617) 797-4393
Entity
Organization
Contact information
Practice address
85 CONSTITUTION LN., SUITE 1 G, DANVERS, MA 01923
(617) 797-4393
(888) 766-8189
Mailing address
85 CONSTITUTION LN, SUITE 1 G, DANVERS, MA 01923-3694
(617) 797-4393
(888) 766-8189
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39726
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M17844
BCBS
MA
Enumeration date
03/20/2007
Last updated
03/11/2014
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