Provider Demographics
NPI:1346226974
Name:TORO-TROCHE, MARIBEL (MD)
Entity Type:Individual
Prefix:
First Name:MARIBEL
Middle Name:
Last Name:TORO-TROCHE
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:PO BOX 820933
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0933
Mailing Address - Country:US
Mailing Address - Phone:215-324-0600
Mailing Address - Fax:215-324-2795
Practice Address - Street 1:133 W HUNTING PARK AVE
Practice Address - Street 2:SUITE 300B
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-2717
Practice Address - Country:US
Practice Address - Phone:215-324-0600
Practice Address - Fax:215-324-2795
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 065768L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1075784OtherKEYSTONE MERCY HEALTH
PA370013198OtherRAILROAD MEDICARE
PA001706221Medicaid
PA019810OtherHIGHMARK BLUE SHIELD
PA563281OtherCOVENTRY HEALTH AMERICA
PA0095033000OtherINDEPENDENCE BLUE CROSS
PA2169175OtherAETNA HMO
PA5063655OtherAETNA PPO
PA001706221Medicaid
PA019810OtherHIGHMARK BLUE SHIELD