Healthcare Provider Details

I. General information

NPI: 1700927118
Provider Name (Legal Business Name): JAMES A TROVATO PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 08/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N GREENE ST
BALTIMORE MD
21201-1524
US

IV. Provider business mailing address

20 N PINE ST SUITE 448
BALTIMORE MD
21201-1142
US

V. Phone/Fax

Practice location:
  • Phone: 410-706-2751
  • Fax:
Mailing address:
  • Phone: 410-706-2751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number13732
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: