Provider Demographics
NPI:1922138015
Name:TRIMOR, FAY ANN INIGO (MD)
Entity Type:Individual
Prefix:DR
First Name:FAY ANN
Middle Name:INIGO
Last Name:TRIMOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 CARNIE BLVD
Mailing Address - Street 2:PEDS FLR.
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1548
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:101 CARNIE BLVD
Practice Address - Street 2:CHAII/CARES
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-1548
Practice Address - Country:US
Practice Address - Phone:856-325-4421
Practice Address - Fax:856-325-3157
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08589900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics