Doctor Name: | DR. GEORGE G TRIM |
NPI Number: | 1154379881 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MA51879 |
Business Practice Address: | 34 Manchester Ave Suite 102 Forked River, NJ - 087311366 |
Business Phone Number: | 6094894492 |
Business Fax Number: | 6094894496 |
Mailing Address: | Po Box 8000, Dept 596 BUFFALO |
State: | NY |
Postal Code: | 142670002 |
Phone Number: | 8662950041 |
Fax Number: | 7083422517 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 10/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA51879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |