Provider Demographics
NPI:1669430864
Name:TROW, CATHERINE A (PA)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:A
Last Name:TROW
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:A
Other - Last Name:OLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:2501 OREGON PIKE
Mailing Address - Street 2:STE 101
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4882
Mailing Address - Country:US
Mailing Address - Phone:717-293-3223
Mailing Address - Fax:717-390-2455
Practice Address - Street 1:24 HOSPITAL AVE
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6099
Practice Address - Country:US
Practice Address - Phone:203-797-7322
Practice Address - Fax:203-743-2610
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000480363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT970002162Medicare PIN