Individual
MS. BARBARA R TRUSCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 535-4000
Mailing address
321 MAIN ST, SUITE 5H, JOHNSTOWN, PA 15901-1632
(814) 535-3310
(814) 532-6618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05674
MD
363AM0700X
Medical Physician Assistant
MA052236
PA
363AS0400X
Surgical Physician Assistant
MA052236
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001794440
GATEWAY MEDICARE ASSURED
PA
01
—
161341L96
MEDICARE PTAN
PA
01
—
P00759054
PALMETTO
PA
Enumeration date
03/14/2006
Last updated
12/11/2019
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