Healthcare Provider Details

I. General information

NPI: 1285629345
Provider Name (Legal Business Name): JOSEPH L TROISE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 01/12/2025
Certification Date: 01/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 ELECTRIC RD STE 1030
SALEM VA
24153-7474
US

IV. Provider business mailing address

4726 GLENBROOK DR
ROANOKE VA
24018-2850
US

V. Phone/Fax

Practice location:
  • Phone: 540-772-3650
  • Fax: 540-772-3650
Mailing address:
  • Phone: 540-819-9777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101054316
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: