Provider Demographics
NPI:1902123565
Name:TROVATO, GIUSEPPE
Entity Type:Individual
Prefix:MR
First Name:GIUSEPPE
Middle Name:
Last Name:TROVATO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 451 BOX 340
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09834-2800
Mailing Address - Country:US
Mailing Address - Phone:9733-676-5924
Mailing Address - Fax:
Practice Address - Street 1:PSC 451 BOX 340
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09834-2800
Practice Address - Country:US
Practice Address - Phone:9733-673-5924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman