Organization
TRINITY MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIBY E HANNA M.D. (OWNER)
(201) 798-0324
Entity
Organization
Contact information
Practice address
634 NEWARK AVE, JERSEY CITY, NJ 07306-2306
(201) 798-0324
Mailing address
PO BOX 219, UNION, NJ 07083-0219
(201) 798-0324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
01/08/2010
Last updated
04/27/2010
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