Individual
BELLA FARDZINOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 DAPHNE RD, EGG HARBOR TOWNSHIP, NJ 08234-6121
(609) 350-3572
Mailing address
105 DAPHNE RD, EGG HARBOR TWP, NJ 08234-6121
(609) 350-3572
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00597100
NJ
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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