MEDICARE: DR. LINDA TROMBURG COX O.D.

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
1	152W00000X	Optometrist	27OA 004013	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043257454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA TROMBURG COX O.D.

Provider Business Mailing Address
First Line	:	44 BROOKFIELD DR
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-3897
Country	:	US
Telephone Number	:	732-523-0318
Fax Number	:

Provider Business Practice Location Address
First Line	:	1722 NEW BEDFORD RD
Second Line	:
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-3870
Country	:	US
Telephone Number	:	732-974-1400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/01/2015

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