Provider Demographics
NPI:1124066337
Name:TRUJILLO, ANGELINA L (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELINA
Middle Name:L
Last Name:TRUJILLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1017
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-6017
Mailing Address - Country:US
Mailing Address - Phone:605-376-6479
Mailing Address - Fax:
Practice Address - Street 1:905 RHOADS DR
Practice Address - Street 2:
Practice Address - City:BELLE MEAD
Practice Address - State:NJ
Practice Address - Zip Code:08502-4117
Practice Address - Country:US
Practice Address - Phone:605-376-6479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD3305207RE0101X
ORMD25610207RE0101X
CAG43857207RE0101X
IA30387207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism