Individual
LAUREN S BERTOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2440 HAMBURG TPKE, WAYNE, NJ 07470-6226
(973) 628-7017
Mailing address
2440 HAMBURG TPKE, WAYNE, NJ 07470-6226
(973) 628-7017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00392800
NJ
Other
Enumeration date
09/10/2012
Last updated
12/08/2016
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