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Specialty details in registry · Trenton, NJ

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At a glance

40 Pennington Avenue, Trenton, NJ 08618

NPPES record updated Dec 18, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

40 Pennington Avenue
Trenton, NJ 08618
Professional details: NPI, taxonomy & registry record
NPI1861218349
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QB0400X
Enumeration date
Nov 29, 2024
Record updated
Dec 18, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QB0400X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

40 Pennington Avenue
Trenton, NJ 08618
Phone
(609) 954-2709
Mailing address
40 PENNINGTON AVENUE

TRENTON, NJ 08618
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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