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TRELLUS MEDICINE PC NPI 1346912110


NPI Information

NPI: 1346912110
Provider Name: TRELLUS MEDICINE PC

Doing Business As: CONNECTED HEALTH MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
45 N BROAD ST
RIDGEWOOD, NJ
ZIP 07450
Phone: (800) 989-5503
Get Directions

TRELLUS MEDICINE PC is a primary care clinic center in Ridgewood, NJ. TRELLUS MEDICINE PC NPI is 1346912110. The provider is registered as an organization entity type.
The provider Is Doing Business As Connected Health Medicine.

The provider's business location address is:

45 N BROAD ST
RIDGEWOOD, NJ
ZIP 07450-856
Phone: (800) 989-5503

The provider's authorized official is Andres Jimenez .
The authorized official title is Chief Medical Offer and has the following contact phone number (214) 679-1220.

The enumeration date for this NPI number is 9/30/2021 and was last updated on 1/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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