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NPI Code Detail

MEDICARE: NANCY TROUT MD

MEDICARE:   NANCY  TROUT  MD
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
1208000000XPediatrics Physician031996CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962400945
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY TROUT MD
Provider Business Mailing Address
First Line : 1000 ASYLUM AVE
Second Line : SUITE 2109A
City : HARTFORD
State : CT
Zip : 06105-1770
Country : US
Telephone Number : 860-714-6581
Fax Number : 860-714-8311
Provider Business Practice Location Address
First Line : 282 WASHINGTON ST
Second Line :
City : HARTFORD
State : CT
Zip : 06106-3322
Country : US
Telephone Number : 860-837-7250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 09/07/2022

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Directions to “ NANCY TROUT MD” Practice Location

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