Individual
MRS. ANGELA BERTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1578 RTE 23, WAYNE, NJ 07470-7516
(973) 832-4925
Mailing address
9 TULIP LN, MONROE, NY 10950-1016
(201) 978-8415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00973800
NJ
Other
Enumeration date
09/19/2019
Last updated
10/22/2019
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