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105 Monument Pl Trenton NJ 08618-3955 | |
| (800) 813-9036 | |
| (866) 410-7649 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 105 Monument Pl, Trenton, New Jersey |
| Authorized Official Name and Position | Ericka Victoria Vernon (DIRECTOR) |
| Authorized Official Contact | 8008139036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
105 Monument Pl Trenton NJ 08618-3955 Ph: (800) 813-9036 | 105 Monument Pl Trenton NJ 08618-3955 Ph: (800) 813-9036 |
| NPI Number | 1740744366 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 01/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740744366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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