Provider Demographics
NPI:1720303258
Name:TROFIMOVSKY, ELINA (MD)
Entity Type:Individual
Prefix:
First Name:ELINA
Middle Name:
Last Name:TROFIMOVSKY
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 1:115 TECHNOLOGY DR UNIT C101
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-6300
Mailing Address - Country:US
Mailing Address - Phone:203-372-7200
Mailing Address - Fax:
Practice Address - Street 1:115 TECHNOLOGY DR UNIT C101
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-6300
Practice Address - Country:US
Practice Address - Phone:203-372-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-27
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT054383207RE0101X
CT54383207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism