National Provider Identifier Database

LAURIE TRAD, PA – NPI #1295769784
Medical


Contact Information

LAURIE TRAD, PA
11 MERIDIAN RD
EATONTOWN, NJ07724-2242
Phone: 732-663-0300
Fax: 732-663-0301
Website:
Specialty Taxonomy Code
* Medical 363AM0700X

* Indicates primary specialty

NPI Profile & details for LAURIE TRAD

NPI Number 1295769784
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/10/2006
Last updated 06/11/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MP00093300
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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