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
Fax: (215) 662-6734
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265579254 NPPES
Maryland MEDICAID 028033000

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