Individual
JAIMEE BOGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
175 PATTERSON AVE, SHREWSBURY, NJ 07702-4141
(732) 747-4600
(732) 219-1968
Mailing address
3102 ALICIA DR, WALL TOWNSHIP, NJ 07719-4404
(908) 489-4740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26NJ00840700
NJ
Other
Enumeration date
08/22/2018
Last updated
09/28/2021
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