Provider Demographics
NPI:1184787590
Name:TROILO, DENNIS A (DC)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:A
Last Name:TROILO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 WEST MAIN STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-6405
Mailing Address - Country:US
Mailing Address - Phone:508-842-2797
Mailing Address - Fax:508-842-2797
Practice Address - Street 1:512 WEST MAIN STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-6405
Practice Address - Country:US
Practice Address - Phone:508-842-2797
Practice Address - Fax:508-842-2797
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA691111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
4404559OtherUNITED HEALTH CARE
18012OtherFALLON
719447OtherTUFTS
1031410OtherAMER SPECIALTY HLTH NTWK
MA1612468Medicaid
997328OtherNETWORK HEALTH MASS
351916OtherHARVARD PILGRIM
TRY35480OtherBCBS
W201323OtherCIGNA
997328OtherNETWORK HEALTH MASS
1031410OtherAMER SPECIALTY HLTH NTWK