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Individual

BONNIE BOVAIRD-JEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
817 FEDERAL STREET, CAMDEN, NJ 08103
(856) 541-8217
(856) 541-4611
Mailing address
817 FEDERAL STREET, SUITE 300, CAMDEN, NJ 08103
(856) 541-5933
(856) 541-3340

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN/NR06376700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8559601
NJ
Enumeration date
09/28/2006
Last updated
07/08/2007
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