Individual
DR. LEOPOLD JORGE BOLONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 WESTFIELD AVE, STE 4, WESTFIELD, NJ 07090-3312
(908) 233-8065
(908) 233-8042
Mailing address
590 WESTFIELD AVE, STE 4, WESTFIELD, NJ 07090-3312
(908) 233-8065
(908) 233-8042
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
252171-1
NY
2084P0800X
Psychiatry Physician
Primary
25MA08702100
NJ
Other
Enumeration date
05/22/2008
Last updated
09/10/2020
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