Individual
RANA TRABOULSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
93 BALSAM RD, LUMBERTON, NJ 08048-4803
(216) 394-3394
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09638600
NJ
207RI0200X
Infectious Disease Physician
Primary
25MA09638600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463221
—
NJ
Enumeration date
08/26/2009
Last updated
09/18/2023
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