Provider Demographics
NPI:1275664112
Name:TROJAN, DARIA A (MD)
Entity Type:Individual
Prefix:
First Name:DARIA
Middle Name:A
Last Name:TROJAN
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 1:3433 OXFORD AVENUE
Mailing Address - Street 2:
Mailing Address - City:MONTREAL
Mailing Address - State:QC
Mailing Address - Zip Code:H4A 2X9
Mailing Address - Country:CA
Mailing Address - Phone:514-398-8911
Mailing Address - Fax:
Practice Address - Street 1:MONTREAL NEUROLOGICAL HOSPITAL
Practice Address - Street 2:3801 UNIVERSITY ST.
Practice Address - City:MONTREAL
Practice Address - State:QC
Practice Address - Zip Code:H3A2B4
Practice Address - Country:CA
Practice Address - Phone:514-398-8911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA55629208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation