Provider Demographics
NPI:1124000112
Name:TRIOLA, VICTORIA (DO)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:TRIOLA
Suffix:
Gender:F
Credentials:DO
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 8519
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-460-9840
Mailing Address - Fax:732-460-9848
Practice Address - Street 1:370 HIGHWAY 35
Practice Address - Street 2:SUITE 101
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-758-0048
Practice Address - Fax:732-758-0052
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2676116OtherAETNA HMO
P2135760OtherOXFORD HEALTH PLANS NJ
25V491OtherEMPIRE BCBS OF NY
NJ8485003Medicaid
1K6902OtherHEALTH NET OF NEW JERSEY
2153614OtherUNITED HEALTHCARE OF NJ
2676116OtherAETNA HMO
039127DCHMedicare ID - Type Unspecified