Individual
HAYDE MARICRUZ BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
401 HOWE AVE APT A9, PASSAIC, NJ 07055-1925
(973) 473-7200
(973) 472-7300
Mailing address
606 BROADWAY, PATERSON, NJ 07514-1916
(908) 240-8142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00560700
NJ
Other
Enumeration date
04/03/2015
Last updated
05/22/2019
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