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1154307106
ALEXIS BOLIVAR TRONCOSO
NEW BRUNSWICK, NJ
NPI
1154307106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ 25MAO35210)
Enumeration Date
2005-12-21
Last Update Date
2010-07-12
Business Address
ALEXIS BOLIVAR TRONCOSO MD
137 LIVINGSTON AVE
NEW BRUNSWICK, NJ 08901-2420
Phone number: 732-545-0051
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Mailing Address
ALEXIS BOLIVAR TRONCOSO MD
2 EASTERN DR
KENDALL PARK, NJ 08824-1322
Phone number: 732-297-2411
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