Trinidad, Altagracia

Trinidad, Altagracia is an individual health care provider with primary practice located at 254 Easton Ave , New Brunswick NJ 08901-1766. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Trinidad, Altagracia can be contacted via phone (732) 745-8600.

Contact Information

Primary practice address
254 Easton Ave New Brunswick NJ 08901-1766
Phone: (732) 745-8600
Fax: (732) 249-9572
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA50530 New Jersey

Profile Details

NPI number 1407870611
LBN Legal business name Trinidad, Altagracia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407870611 NPPES
New Jersey MEDICAID 0751103

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