Individual
DR. BOLIVAR PASCUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
469 CLIFTON AVE, CLIFTON, NJ 07011-3227
(973) 253-0266
Mailing address
469 CLIFTON AVE, CLIFTON, NJ 07011-3227
(973) 253-0266
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA07199200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8949301
—
NJ
Enumeration date
04/26/2006
Last updated
04/25/2014
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