Provider Demographics
NPI:1669520771
Name:TRIGANI, BENEDICT JOSEPH (PHD)
Entity type:Individual
Prefix:DR
First Name:BENEDICT
Middle Name:JOSEPH
Last Name:TRIGANI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 MAHORAS DR
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3345
Mailing Address - Country:US
Mailing Address - Phone:732-695-0818
Mailing Address - Fax:732-698-0810
Practice Address - Street 1:26 MAHORAS DR
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3345
Practice Address - Country:US
Practice Address - Phone:732-695-0818
Practice Address - Fax:732-698-0810
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI00965103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist