Healthcare Provider Details

I. General information

NPI: 1295962728
Provider Name (Legal Business Name): SEETA TRIVEDI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2009
Last Update Date: 05/20/2023
Certification Date: 05/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34-36 PROGRESS ST STE B2
EDISON NJ
08820-1197
US

IV. Provider business mailing address

629 CRANBURY RD FL 2
EAST BRUNSWICK NJ
08816-4096
US

V. Phone/Fax

Practice location:
  • Phone: 908-757-9696
  • Fax: 908-757-9721
Mailing address:
  • Phone: 732-390-7750
  • Fax: 732-390-7725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number25MA08570200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: