Individual
DR. TREVOR G DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 LINDSLEY DR, SUITE 205, MORRISTOWN, NJ 07960-4455
(973) 993-8777
(973) 993-8577
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA04801800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0983101
—
NJ
Enumeration date
10/05/2006
Last updated
02/11/2014
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