Individual
KRUNAL TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 CENTRAL AVE DEPT D7, NEWARK, NJ 07102-1909
(973) 877-5465
Mailing address
12 DAVEY DR, WEST ORANGE, NJ 07052-2174
(331) 302-7878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA12134200
NJ
208D00000X
General Practice Physician
Primary
25MA12134200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2021
Last updated
08/16/2024
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