Individual
ROLANDO BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 87TH ST, NORTH BERGEN, NJ 07047-5108
(201) 725-1742
Mailing address
803 87TH ST, NORTH BERGEN, NJ 07047-5108
(201) 725-1742
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05941600
NJ
Other
Enumeration date
12/12/2014
Last updated
12/19/2014
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