Individual
YOUNGJIN RUTH COLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3322
Mailing address
257 WESTVIEW AVE, FORT LEE, NJ 07024-5231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
23129277
LA
163W00000X
Registered Nurse
95234131
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ15278800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2024
Last updated
03/05/2025
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