| Doctor Name: | DR. BEVERLY HAINES TRUXTON |
| NPI Number: | 1891969846 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 25MA02607200 |
| Business Practice Address: | 200 Sawmill Rd Cherry Hill, NJ - 080342707 |
| Business Phone Number: | 8568570468 |
| Business Fax Number: | |
| Mailing Address: | Ecwa/sim, Pmb 2009 JOS |
| State: | PLS |
| Postal Code: | 234 |
| Phone Number: | 073454098 |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2008 |
| NPI Last Update Date: | 04/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA02607200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |