Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 25MB09094400 | NJ |
Y | 207VX0201X | Gynecologic Oncologist | 2015-01378 | NC |
NPI | 1063771079 |
---|---|
Provider Name | Dr. Joshua Trinidad |
First Address | Charlotte, NC 28275-0216 |
Second Address | Winston Salem, NC 27103-3013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2012 |
Last Update Date | 20/08/2021 |