Provider Demographics
NPI:1720125586
Name:TROY, STEVEN M (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:TROY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 KEYSTONE AVE
Mailing Address - Street 2:SUITE 707
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-1129
Mailing Address - Country:US
Mailing Address - Phone:610-626-7070
Mailing Address - Fax:610-626-9887
Practice Address - Street 1:2100 KEYSTONE AVE
Practice Address - Street 2:SUITE 707
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-1129
Practice Address - Country:US
Practice Address - Phone:610-626-7070
Practice Address - Fax:610-626-9887
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS00899L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014168Medicaid
PA017016Medicare PIN
PA0014168Medicaid