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Individual

DR. BRUCE S BOLTUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
88 WILLOW DRIVE, OLD TAPPAN, NJ 07675-6831
(201) 666-7717
(201) 666-7717
Mailing address
88 WILLOW DRIVE, OLD TAPPAN, NJ 07675-6831
(201) 666-7717
(201) 666-7717

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1274
NJ

Other

Enumeration date
01/09/2007
Last updated
07/08/2007
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