Organization
NBIMC TRINITAS PEDIATRIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ESPOSITO (DIRECTOR)
(732) 557-7160
Entity
Organization
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5452
(908) 351-7930
Mailing address
PO BOX 15314, NEWARK, NJ 07192-5314
(732) 557-7160
(732) 557-7109
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068071
—
NJ
Enumeration date
05/04/2006
Last updated
08/22/2020
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