Provider Demographics
NPI:1962485631
Name:TRUGMAN, SHEILA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:TRUGMAN
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 1:101 BARRY RD
Mailing Address - Street 2:SUITE 1033
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1273
Mailing Address - Country:US
Mailing Address - Phone:508-767-7931
Mailing Address - Fax:
Practice Address - Street 1:101 BARRY RD
Practice Address - Street 2:SUITE 1033
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1273
Practice Address - Country:US
Practice Address - Phone:508-767-7931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-27
Last Update Date:2012-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA52669207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6184995Medicaid
MAA56993Medicare UPIN
MA6184995Medicaid