Bivalacqua, Trinity J
Bivalacqua, Trinity J is an individual health care provider with primary practice located at 3400 Civic Center Blvd West Pavilion 3Rd Floor, Philadelphia PA 19104-5127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bivalacqua, Trinity J can be contacted via phone (215) 662-2891.Contact Information
Primary practice address
3400 Civic Center Blvd West Pavilion 3Rd Floor
Philadelphia PA 19104-5127
Phone: (215) 662-2891
Fax: (215) 662-6734
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | MD475725 | Pennsylvania |
Profile Details
NPI number | 1265579254 |
---|---|
LBN Legal business name | Bivalacqua, Trinity J |
Credentials | MD PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2007 |
Last updated | Dec 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265579254 | NPPES |
Maryland | MEDICAID | 028033000 |
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