Organization
TRINITAS REGIONAL MEDICAL CENTER
Active
Organization
TRINITAS REGIONAL MEDICAL CENTER
Active
Other names
TRINITAS REGIONAL MEDICAL CENTER PHYSICIANS PRACTICE ACCTS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J SAMPSON (PRACTICE MANAGER)
(908) 298-0579
Entity
Organization
Contact information
Practice address
67 WALNUT AVE, SUITE 202, CLARK, NJ 07066-1640
(732) 815-9872
(732) 388-1330
Mailing address
67 WALNUT AVE, SUITE 202, CLARK, NJ 07066-1640
(732) 815-9872
(732) 388-1330
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
MB71509
NJ
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
MB53933
NJ
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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