Individual
MELISSA BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 W COMMERCE ST, BRIDGETON, NJ 08302-1806
(609) 579-8107
Mailing address
154 W COMMERCE ST, BRIDGETON, NJ 08302-1806
(609) 579-8107
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00899400
NJ
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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