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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