Organization
BOROUGH OF BOGOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD JERRY NICOLOSI (BOROUGH ADMINISTRATOR)
(201) 342-1736
Entity
Organization
Contact information
Practice address
375 LARCH AVE, BOGOTA, NJ 07603-1067
(201) 342-1736
(201) 488-2717
Mailing address
375 LARCH AVE, BOGOTA, NJ 07603-1067
(201) 342-1736
(201) 488-2717
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
07/13/2010
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