Healthcare Provider Details

I. General information

NPI: 1457355711
Provider Name (Legal Business Name): THOMAS RUDOLPH TROOST MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2005
Last Update Date: 11/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 M ST NW 4TH FLOOR
WASHINGTON DC
20037-1434
US

IV. Provider business mailing address

5633 SUGARBUSH LN
ROCKVILLE MD
20852-3247
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-3250
  • Fax: 202-741-3382
Mailing address:
  • Phone: 301-230-1446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD16539
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: