Individual
LUCILLE TRABOLD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7167
(732) 432-9800
Mailing address
PO BOX 667, EAST BRUNSWICK, NJ 08816-0667
(732) 432-9800
(732) 698-0116
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MA59842
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7326009
—
NJ
Enumeration date
05/27/2006
Last updated
07/09/2007
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