Individual
TRINITY J BIVALACQUA
Active
Individual
TRINITY J BIVALACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD475725
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028033000
—
MD
Enumeration date
01/31/2007
Last updated
12/22/2021
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