Individual provider · Type 1 NPI

Esubalew Mindaye

Student in an Organized Health Care Education/Training Program · Trenton, NJ

NPI number 1124983291 Active

Practice location

750 Brunswick Aveneu
Trenton, NJ 08638

Call (609) 394-6031 Map

Mailing address

750 Brunswick Ave
Trenton, NJ 08638-4143

Other practice locations

  • 2219 Rimland Dr Ste 301, Bellingham, WA 98226-8759 · (832) 776-3603

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Internal Medicine Physician 207R00000XMDCE.ML.70053971 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124983291

Esubalew Mindaye's National Provider Identifier is 1124983291, issued on Dec 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Trenton, NJ. The record was last updated on Jun 4, 2026.