Trellus Medicine PC

NPI #1346912110 in Ridgewood, New Jersey

Provider Information

NPI Number: 1346912110
Entity Type: Organization
Organization Name: Trellus Medicine PC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Sep 30, 2021
Last Updated: Jan 5, 2022

Practice Location

Address: 45 N BROAD ST
City: Ridgewood
State: New Jersey
ZIP Code: 07450-3856
Phone: (800) 989-5503

Authorized Official

Name: ANDRES JIMENEZ, MD
Title: CHIEF MEDICAL OFFER
Phone: (214) 679-1220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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