Individual
KATHLEEN TROTTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 CORPORATE PL, PEABODY, MA 01960-3840
(978) 535-1344
(781) 255-0594
Mailing address
200 CORPORATE PL, PEABODY, MA 01960-3840
(978) 535-1344
(781) 255-0594
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
53011
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3048250
—
MA
Enumeration date
03/08/2006
Last updated
07/08/2007
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