Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 24124 | NJ |
N | 1223X0400X | Orthodontists | DS035762 | PA |
NPI | 1063611523 |
---|---|
Provider Name | Dr. Janine Trindade |
First Address | West Deptford, NJ 08086 |
Second Address | West Deptford, NJ 08086 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2007 |
Last Update Date | 02/10/2014 |