Individual
EVELINE C TRAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 301-5491
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 301-5491
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA06061600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6183603
—
NJ
Enumeration date
03/08/2006
Last updated
11/14/2008
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