TRINITY OBSTETRICS & GYNECOLOGY P.C. NPI 1720327893

NPI Information

  • NPI: 1720327893
  • Provider Name: TRINITY OBSTETRICS & GYNECOLOGY P.C.
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Organization
  • CLIA Number: 21D2079731
  • Address: 1414 CRAIN HWY N STE 1A
    GLEN BURNIE, MD
    ZIP 21061
  • Phone: (410) 760-1118

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NPI Details

TRINITY OBSTETRICS & GYNECOLOGY P.C. is an obstetrics obstetrics gynecology in Glen Burnie, MD. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee TRINITY OBSTETRICS & GYNECOLOGY P.C. NPI is 1720327893. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1414 CRAIN HWY N STE 1A
GLEN BURNIE, MD
ZIP 21061-307
Phone: (410) 760-1118
Fax: (410) 760-1120

The provider's authorized official is Adegboyega Ibukunolu Adejana .
The authorized official title is Medical Director and has the following contact phone number (410) 967-3268.

The CLIA number assigned to this NPI record is 21D2079731 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2013 and was last updated on 11/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetricsD66180MARYLANDYes

What is NPI?

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This page was last updated on: 3/30/2025

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