MEDICARE: SCOTT G TROMANHAUSER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	74493	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023010527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT G TROMANHAUSER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 86
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-0086
Country	:	US
Telephone Number	:	781-749-9071
Fax Number	:	781-749-2133

Provider Business Practice Location Address
First Line	:	125 PARKER HILL AVE
Second Line	:	CONVERSE 4
City	:	BOSTON
State	:	MA
Zip	:	02120-2847
Country	:	US
Telephone Number	:	617-754-5470
Fax Number	:	617-754-5740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	05/29/2013

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