Individual
DR. RONALD J BOLOGNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BOWMAN DRIVE, VOORHEES, NJ 08043-9612
(856) 247-3328
(856) 247-3276
Mailing address
40 LAKE CTR, 401 ROUTE 73N SUITE 201A, MARLTON, NJ 08053-3425
(856) 355-0340
(856) 355-0346
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
25MA04153600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7051603
—
NJ
Enumeration date
10/12/2005
Last updated
12/18/2012
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