Individual
JOANNA BUILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2736
(201) 447-8000
Mailing address
124 HOME PL UNIT 17, LODI, NJ 07644-1557
(201) 993-0324
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01104700
NJ
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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