Provider Demographics
NPI:1487755328
Name:TROVATO, ALDO (MD)
Entity type:Individual
Prefix:
First Name:ALDO
Middle Name:
Last Name:TROVATO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 DAUPHIN STREET BUILDING 2
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1771
Mailing Address - Country:US
Mailing Address - Phone:251-343-2100
Mailing Address - Fax:251-344-9944
Practice Address - Street 1:3715 DAUPHIN STREET BUILDING 2
Practice Address - Street 2:4TH FLOOR
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1771
Practice Address - Country:US
Practice Address - Phone:251-343-2100
Practice Address - Fax:251-344-9944
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL19106207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F84095Medicare UPIN