Individual
PETER J TRIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G32939
CA
2085U0001X
Diagnostic Ultrasound Physician
G32939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G329390
—
CA
Enumeration date
05/26/2006
Last updated
02/10/2011
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