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Organization
MBS TRINITY HEALTH, LLC
Active
Organization
MBS TRINITY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAWWA S. FRAZIER DO (OWNER/CEO)
(732) 638-4688
Entity
Organization
Contact information
Practice address
2 HOSPITAL PLZ, SUITE 470, OLD BRIDGE, NJ 08857-3012
(732) 638-4688
Mailing address
140 WHITEHEAD AVE, SAYREVILLE, NJ 08872-1187
(732) 638-4688
(732) 360-5081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09310600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
316822
PTAN
—
Enumeration date
06/14/2013
Last updated
09/16/2014
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