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NPI Code Detail

MEDICARE: DR. PAOLO VINCENZO TROIA-CANCIO M.D.

MEDICARE: DR. PAOLO VINCENZO TROIA-CANCIO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease PhysicianA72026CA
2207R00000XInternal Medicine PhysicianA72026CA

General Provider Information

NPI Number : 1538141619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAOLO VINCENZO TROIA-CANCIO M.D.
Provider Business Mailing Address
First Line : 8733 EARLY TIMES LN
Second Line :
City : WILTON
State : CA
Zip : 95693-9687
Country : US
Telephone Number : 916-730-0680
Fax Number :
Provider Business Practice Location Address
First Line : 8110 LAGUNA BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-8094
Country : US
Telephone Number : 916-683-3955
Fax Number : 916-683-7290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 10/28/2021

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