Individual
SCOTT O TREROTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 1 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-3005
(215) 662-7011
Mailing address
3400 SPRUCE STREET, 1 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD072862L
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD072862L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018378130001
—
PA
Enumeration date
06/25/2006
Last updated
11/05/2012
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