| Trinity Medical Group Llc | |
|
634 Newark Ave Jersey City NJ 07306-2306 | |
| (201) 798-0324 | |
| Not Available |
| Full Name | Trinity Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 634 Newark Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Fiby E Hanna (OWNER) |
| Authorized Official Contact | 2017980324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Medical Group Llc Po Box 219 Union NJ 07083-0219 Ph: (201) 798-0324 | Trinity Medical Group Llc 634 Newark Ave Jersey City NJ 07306-2306 Ph: (201) 798-0324 |
| NPI Number | 1447580766 |
|---|---|
| Provider Enumeration Date | 01/08/2010 |
| Last Update Date | 04/27/2010 |
| Medicare PECOS PAC ID | 3274660022 |
|---|---|
| Medicare Enrollment ID | O20100427000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447580766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Fiby E Hanna |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962581066 PECOS PAC ID: 9335107168 Enrollment ID: I20100427000443 |
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