Individual
DR. PAULA M BORTNICHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 SOUTH ST, MORRISTOWN, NJ 07960-8106
(201) 919-8068
Mailing address
310 OCEAN AVE N, C13, LONG BRANCH, NJ 07740-7589
(201) 919-8068
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
25MA04744500
NJ
2084F0202X
Forensic Psychiatry Physician
25MA04744500
NJ
2084P0800X
Psychiatry Physician
Primary
25MA04744500
NJ
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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