Provider Demographics
NPI:1083784664
Name:TROTTER, ALICIA CATHERINE (MD)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:CATHERINE
Last Name:TROTTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 NEW MEXICO AVE NW
Mailing Address - Street 2:#302
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3622
Mailing Address - Country:US
Mailing Address - Phone:202-966-2222
Mailing Address - Fax:202-686-7079
Practice Address - Street 1:3301 NEW MEXICO AVE NW
Practice Address - Street 2:#302
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3622
Practice Address - Country:US
Practice Address - Phone:202-966-2222
Practice Address - Fax:202-686-7079
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD20220207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000J65A11Medicare PIN
DCD42912Medicare UPIN
DCG00211Medicare ID - Type Unspecified