Provider Demographics
NPI:1497332803
Name:TROCCHIA, CAROLENA (MD, MPH)
Entity type:Individual
Prefix:
First Name:CAROLENA
Middle Name:
Last Name:TROCCHIA
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 WELCH RD STE 116
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1508
Mailing Address - Country:US
Mailing Address - Phone:631-513-3698
Mailing Address - Fax:
Practice Address - Street 1:750 WELCH RD STE 116
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1508
Practice Address - Country:US
Practice Address - Phone:650-725-9813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program