Individual provider · Type 1 NPI
Nicanora Trivino, MD
Clinic/Center · East Orange, NJ
NPI number
1184759482
Active
Practice location
172 Halsted St
East Orange, NJ 07018-2663
Fax (973) 678-6305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
About NPI 1184759482
Nicanora Trivino, MD's National Provider Identifier is 1184759482, issued on Feb 23, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in East Orange, NJ. The record was last updated on Jul 8, 2007.