Nbimc Trinitas Pediatric Medical Group
Pediatrics in Elizabeth, NJ. Organization (NPI-2).
NPI number1144288366
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1144288366
- Entity type
- Organization (NPI-2)
- Legal business name
- Nbimc Trinitas Pediatric Medical Group
- Organization subpart
- No
- Enumeration date
- May 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
225 Williamson StElizabeth, NJ 07202-3625
Phone 908-994-5452 · Fax 908-351-7930
Mailing address
Po Box 15314Newark, NJ 07192-5314
Phone 732-557-7160 · Fax 732-557-7109
Authorized official
Anthony Esposito
Director
7325577160
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