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Mrs. Nicanora Trivino, MD
Clinic/Center in East Orange, New Jersey
NPI 1184759482

Nicanora Trivino is a Clinic/Center based in East Orange, NJ. Nicanora Trivino practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Nicanora Trivino is 1184759482 and holds a License No. (New Jersey).

The current practice location address for Nicanora Trivino is 172 Halsted St, East Orange, NJ and can be reached out via phone at 973-678-3133 and via fax at 973-678-6305.

Location: 172 Halsted St, East Orange, NJ, 07018-2663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184759482
Provider Name
Nicanora Trivino
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
172 Halsted St, East Orange, NJ, 07018-2663
Phone Number
973-678-3133
Fax Number
973-678-6305
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4508807 05 NJ
institution
Provider Business Practice Location Address Details
Address
172 Halsted St
City
East Orange
State
New Jersey
Zip
07018-2663
Phone Number
973-678-3133
Fax Number
973-678-6305
person
Provider Business Mailing Address Details
Address
172 Halsted St
City
East Orange
State
New Jersey
Zip
07018-2663
Phone Number
973-678-3133
Fax Number
973-678-6305
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(New Jersey)
Definition
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).
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