Provider Demographics
NPI:1457785610
Name:TRINIDAD, JOHN CHRISTOPHER LORENZO (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JOHN CHRISTOPHER
Middle Name:LORENZO
Last Name:TRINIDAD
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:
Other - Last Name:TRINIDAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:50 STANIFORD ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2517
Mailing Address - Country:US
Mailing Address - Phone:617-643-7972
Mailing Address - Fax:
Practice Address - Street 1:50 STANIFORD STREET
Practice Address - Street 2:MASSACHUSETTS GENERAL HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-643-7972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-23
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA132707207N00000X
OH130999207N00000X
390200000X
MA290956207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program