Healthcare Provider Details

I. General information

NPI: 1902815038
Provider Name (Legal Business Name): CARLA M. TRIOLO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 01/03/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E MARSHALL ST
WEST CHESTER PA
19380-4412
US

IV. Provider business mailing address

701 E MARSHALL ST
WEST CHESTER PA
19380-4412
US

V. Phone/Fax

Practice location:
  • Phone: 610-431-5000
  • Fax: 610-431-5025
Mailing address:
  • Phone: 610-431-5000
  • Fax: 610-431-5025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberC5-0000533
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA052415
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: