Healthcare Provider Details

I. General information

NPI: 1952578353
Provider Name (Legal Business Name): ALTON A TROTT D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 04/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 SAULSBURY ROAD
DOVER DE
19904
US

IV. Provider business mailing address

21 SAULSBURY ROAD
DOVER DE
19904
US

V. Phone/Fax

Practice location:
  • Phone: 302-734-9200
  • Fax: 302-730-8615
Mailing address:
  • Phone: 302-734-9200
  • Fax: 302-730-8615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberC20008667
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: