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Individual

MR. JOHN JASON BULIYAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RNFA

Contact information

Practice address
59 ZELLER DR, SOMERSET, NJ 08873-7335
(732) 568-1450
Mailing address
59 ZELLER DRIVE, SOMERSET, NJ 08873
(732) 568-1450

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
103086
NJ

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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