Troncoso, Alexis Bolivar

Troncoso, Alexis Bolivar is an sole proprietor health care provider with primary practice located at 137 Livingston Ave , New Brunswick NJ 08901-2420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Troncoso, Alexis Bolivar can be contacted via phone (732) 545-0051.

Contact Information

Primary practice address
137 Livingston Ave New Brunswick NJ 08901-2420
Phone: (732) 545-0051
Fax: (732) 545-0038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MAO35210 New Jersey

Profile Details

NPI number 1154307106
LBN Legal business name Troncoso, Alexis Bolivar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Jul 12th, 2010 - about 16 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 1154307106 NPPES
New Jersey MEDICAID 0316186E
New Jersey Other 207Q00000X

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