Individual
BEVERLY LYNN BONGIORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1025 BRIGGS RD, SUITE 148, MOUNT LAUREL, NJ 08054-4103
(856) 222-1975
(856) 222-0721
Mailing address
1025 BRIGGS RD, SUITE 148, MOUNT LAUREL, NJ 08054-4103
(856) 222-1975
(856) 222-0721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00340200
NJ
Other
Enumeration date
07/20/2011
Last updated
08/02/2011
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