Organization
ADULT INTEGRATED MEDICAL AND PSYCHIATRIC CARE CONSULT.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS M. BONGAH DNP, APN, MSN (ADVANCED PRACTICE NURSE.)
(862) 955-3234
Entity
Organization
Contact information
Practice address
40 UNION AVENUE, SUITE 305, IRVINGTON, NJ 07111-3290
(862) 955-3234
(862) 955-3265
Mailing address
20 COOLIDGE STREET, IRVINGTON, NJ 07111-1108
(862) 955-3234
(862) 955-3265
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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