Provider Demographics
NPI:1881873966
Name:TRUJILLO, EDUARDO MAURICIO (DPT)
Entity type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:MAURICIO
Last Name:TRUJILLO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 STATE ROUTE 34 B
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1947
Mailing Address - Country:US
Mailing Address - Phone:732-444-4859
Mailing Address - Fax:732-444-3122
Practice Address - Street 1:504 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-1200
Practice Address - Country:US
Practice Address - Phone:732-970-6990
Practice Address - Fax:732-719-2311
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01259300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist