Organization
ELDER EXCELLENCE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNILEE A TRINIDAD MD (PHYSICIAN)
(908) 487-1962
Entity
Organization
Contact information
Practice address
101 N GROVE ST, EAST ORANGE, NJ 07017-4712
(908) 487-1962
Mailing address
101 N GROVE ST, EAST ORANGE, NJ 07017-4712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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