Individual
JULIA BULDO-LICCIARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 BEECHCREST DR, RIVER VALE, NJ 07675-6053
(201) 618-7207
Mailing address
712 BEECHCREST DR, RIVER VALE, NJ 07675-6053
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
NA
DC
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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