Individual
DALE J BAYONETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
294 STATE STREET, SUITE 1, HACKENSACK, NJ 07601
(201) 488-7246
Mailing address
37 E BROAD ST, BERGENFIELD, NJ 07621-3003
(201) 563-5349
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
26NR13631900
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ115184200
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ15184200
NJ
Other
Enumeration date
10/17/2024
Last updated
11/08/2024
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