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TROCCIOLA, SUSAN MARY       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: CARDIOTHORACIC SURGERY
1000 ASYLUM AVE
SUITE 3201A
HARTFORD CT 06105

Address last updated on 5/1/2019
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 31451
Dated: 5/14/2015
Expires: 1/30/2021
Temp. Lic. Issued: 4/29/2015
Temp. Lic. Expires: 6/26/2015
License Type: Medical Doctor
Specialty: Cardiothoracic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: NEW YORK MED COLL, VALHALLA NY 10595
Graduated: 5 / 2001
CME Year: 2021
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF SURGERY
AMERICAN BOARD OF THORACIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
CARDIOTHORACIC SURGERY
1000 ASYLUM AVE
SUITE 3201A
HARTFORD CT 06105

Phone #:
Fax #:
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