Individual
KENNETH TRUESDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2000
Mailing address
PO BOX 67, KENILWORTH, NJ 07033-0067
(201) 487-7227
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
453006
NY
367500000X
Certified Registered Nurse Anesthetist
26N009116700
NJ
367500000X
Certified Registered Nurse Anesthetist
26NJ00205400
NJ
Other
Enumeration date
08/24/2005
Last updated
11/18/2025
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