Individual
MRS. CECILIA J TRUJILLO-CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7650 RIVER RD, SUITE 230, NORTH BERGEN, NJ 07047-6526
(201) 868-6755
(201) 868-8442
Mailing address
7650 RIVER RD, SUITE 230, NORTH BERGEN, NJ 07047-6526
(201) 868-6755
(201) 868-8442
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA09663700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486931
—
NJ
01
—
051725
MEDICARE GROUP PTAN
NJ
01
—
25MA09663700
LICENSE
NJ
Enumeration date
05/09/2012
Last updated
01/12/2017
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