Individual
BOJAN DIZDAREVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1502 BETTE RD, UTICA, NY 13502-2208
(315) 327-6469
Mailing address
1502 BETTE RD, UTICA, NY 13502-2208
(315) 327-6469
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
753086
NY
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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