Individual
MISS DINNAH BULOSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
55-77 SCHANCK RD STE B-13, FREEHOLD, NJ 07728-2964
(732) 612-8485
(732) 612-8483
Mailing address
12 QUARRY CT, EAST WINDSOR, NJ 08520-3032
(732) 796-3949
(732) 612-8483
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ14929000
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ14929000
NJ
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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