Healthcare Provider Details
I. General information
NPI: 1922362755
Provider Name (Legal Business Name): ARIANNA TRIONFO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/26/2012
Last Update Date: 08/20/2021
Certification Date: 08/20/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3401 N BROAD ST ORTHOPAEDIC SURGERY
PHILADELPHIA PA
19140-5103
US
IV. Provider business mailing address
PO BOX 13579
READING PA
19612-3579
US
V. Phone/Fax
- Phone: 215-707-2500
- Fax:
- Phone: 484-628-1324
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | MT201680 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XP3100X |
| Taxonomy | Pediatric Orthopaedic Surgery Physician |
| License Number | MT201680 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: