Dennis J Triolo, AUD
Individual provider Active NPI Audiologist · Tamuning, GU
NPI 1871667030 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871667030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- SLA000003 (GU)
- Practice address
- 545 Chalan San Antonio
Suite 305
Tamuning, GU 96913 - Phone
- (671) 649-2902
- Fax
- (671) 649-2905
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLA000003 | GU | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | SLA000003 | GU | Yes |
Addresses
Primary practice location
545 Chalan San Antonio
Suite 305
Tamuning, GU 96913
Mailing address
PO Box 11529
Tamuning, GU 96931
Phone (671) 649-2902
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.