ALEXIS BOLIVAR TRONCOSO

NEW BRUNSWICK, NJ
NPI1154307106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NJ  25MAO35210)
Enumeration Date2005-12-21
Last Update Date2010-07-12
Business Address
-- ALEXIS BOLIVAR TRONCOSO MD
137 LIVINGSTON AVE
NEW BRUNSWICK, NJ 08901-2420
Phone number: 732-545-0051
Mailing Address
-- ALEXIS BOLIVAR TRONCOSO MD
2 EASTERN DR
KENDALL PARK, NJ 08824-1322
Phone number: 732-297-2411