Provider Demographics
NPI:1760593404
Name:TRIA, ALFRED J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:J
Last Name:TRIA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1527 STATE HIGHWAY 27
Mailing Address - Street 2:STE 1300
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873
Mailing Address - Country:US
Mailing Address - Phone:732-249-4444
Mailing Address - Fax:732-249-6528
Practice Address - Street 1:1527 STATE HIGHWAY 27
Practice Address - Street 2:STE 1300
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:732-249-4444
Practice Address - Fax:732-249-6528
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03141000207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0976601Medicaid
NJ0976601Medicaid
NJCC8492Medicare PIN
D19581Medicare UPIN