Individual
DR. MARK STEPHEN TROCHIMOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SOUTH ST, SUITE 100, NEW CASTLE, DE 19720-5057
(302) 325-2309
(302) 325-6365
Mailing address
400 SOUTH ST, SUITE 100, NEW CASTLE, DE 19720-5057
(302) 325-2309
(302) 325-6365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07769900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA07769900
NJ MEDICAL LICENSE NUMBER
NJ
01
—
P00470699
RAILROAD MEDICARE PTAN
—
Enumeration date
07/06/2005
Last updated
09/21/2012
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