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Alexis B. Troncoso

Emergency Medicine

Allopathic & Osteopathic Physicians

100 Madison Ave, Morristown, NJ 07960-6136

PECOS Enrollment

This provider is enrolled in PECOS as ALEXIS TRONCOSO.

Based on the most recent information from CMS, provider Alexis B. Troncoso is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1528186194
Provider Type
Individual
Full Name
Troncoso, Alexis B.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/26/2007
Last Updated
8/20/2008

Contact Information

Practice Location

100 Madison Ave, Morristown, NJ 07960-6136

(800) 345-0064

Unlisted Fax

Mailing Location

PO Box 718, Livingston, NJ 07039-0718

(800) 345-0064

(973) 740-1350

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 25MA08221400 New Jersey

Provider Identifiers

ID	Description	Issuer
ID 25MA08221400	Description Other	Issuer LICENSE New Jersey

Alexis B. Troncoso

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Gohsler, Steven

Heller, Diane

Shih, Richard

Almeida, Vinita

Tapia, Alfredo Jorge

Tambone, Robert

Hung, Oliver

Armstrong, Lisa Kay

Gerardi, Michael

Hunt-Heinzen, Elyse Michele