Individual
ERIC E TREVELLINE
Active
Individual
ERIC E TREVELLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
10322
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076143
—
MT
01
—
95145
MEDICARE ADVANTAGE
MT
01
—
P00040972
RAILROAD MEDICARE
MT
Enumeration date
08/21/2006
Last updated
10/09/2007
Update your record
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