Individual
DAVID A BOLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
89 SPARTA AVE, SUITE 100, SPARTA, NJ 07871-1777
(973) 729-2121
(973) 729-3454
Mailing address
532 LAFAYETTE RD, SUITE 300, SPARTA, NJ 07871-4411
(973) 940-0423
(973) 940-0399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05026800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489402
—
NJ
Enumeration date
09/26/2005
Last updated
10/20/2011
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