Organization
TRENTON FAMILY PRACTICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON M. REGIS M.D. (PRESIDENT)
(609) 272-0655
Entity
Organization
Contact information
Practice address
725 WEST STATESTREET, TRENTON, NJ 08618
(609) 392-2585
(609) 392-1448
Mailing address
22 NORTH FRANKLIN AVENUE, 2ND FLOOR, PLEASANTVILLE, NJ 08232
(609) 272-0655
(609) 272-9317
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA59582
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5569702
—
NJ
05
—
6416802
—
NJ
Enumeration date
05/01/2006
Last updated
04/30/2012
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