NPIMap

Organization Active NPI

Eudaldo J. Troncoso, M.D. P.C.

  • Specialist
  • Danvers, MA
National Provider Identifier
1255456950
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39726 Issued in MA
Legal business name
EUDALDO J. TRONCOSO, M.D. P.C.
Practice address
85 Constitution LN.
Suite 1 G
Danvers, MA 01923
Phone
(617) 797-4393
Fax
(888) 766-8189
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eudaldo J. Troncoso, M.D.
Title
Owner
Phone
(617) 797-4393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 39726 MA Primary

Addresses

Primary practice location

85 Constitution LN.
Suite 1 G
Danvers, MA 01923

Mailing address

85 Constitution LN
Suite 1 G
Danvers, MA 01923-3694
Phone (617) 797-4393

Other identifiers 1

IdentifierTypeStateIssuer
M17844OtherMABCBS

National Provider Directory

National Provider Directory

Locations

6 Essex Center Dr
Ste 108
Peabody, MA 01960
Phone (978) 532-4578

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1255456950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CONSTITUTION LN",
            "address_2": "SUITE 1 G",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233694",
            "telephone_number": "617-797-4393",
            "fax_number": "888-766-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CONSTITUTION LN.",
            "address_2": "SUITE 1 G",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "617-797-4393",
            "fax_number": "888-766-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUDALDO J. TRONCOSO, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "TRONCOSO",
        "authorized_official_first_name": "EUDALDO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-797-4393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "39726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17844",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.