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NPI Code Detail

MEDICARE: TRENTON HEALTHCARE, LLC

MEDICARE: TRENTON HEALTHCARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2800XMethadone Clinic

General Provider Information

NPI Number : 1225595317
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRENTON HEALTHCARE, LLC
Provider Business Mailing Address
First Line : 2701 RENAISSANCE BLVD
Second Line :
City : KING OF PRUSSIA
State : PA
Zip : 19406-2781
Country : US
Telephone Number : 610-994-2968
Fax Number :
Provider Business Practice Location Address
First Line : 801 NEW YORK AVE
Second Line :
City : TRENTON
State : NJ
Zip : 08638-3913
Country : US
Telephone Number : 610-994-2968
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF PATIENT ACCOUNTS
Name : MARK GALLIHUE
Credential :
Telephone Number : 610-994-2968
Provider Enumeration Date : 02/25/2019
Last Update Date : 07/10/2019

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Directions to “TRENTON HEALTHCARE, LLC ” Practice Location

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