| NPI | 1750410296 |
|---|---|
| Doing Business As | TRENTON MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | AYODELE ADELEKE OLUSANYA President 731-855-3719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2022-07-21 |