NPI 1689249328

Krunal Trivedi

Practitioner General Practice Physician Newark, NJ

Practice location

Address: 111 Central Ave Dept D7, Newark, NJ 07102-1909
Phone: (973) 877-5465
Mailing address: 12 Davey Dr, West Orange, NJ 07052-2174

Registered specialties (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 25MA12134200 (NJ)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 25MA12134200 (NJ)

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Registry record

NPI: 1689249328
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2021
Record last updated: 16 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.