Individual
AYRTON ILOLO BANGOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 710-2756
(201) 758-2740
Mailing address
4522 JOHN F. KENNEDY BLVD, UNION CITY, NJ 07087
(201) 863-1797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11645000
NJ
Other
Enumeration date
03/24/2020
Last updated
12/11/2025
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