Individual
PAULO JUAN BAGAYAS VERDEFLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
2401 STUYVESANT AVE, TRENTON, NJ 08628
(609) 984-6000
Mailing address
807 LILY LN, EWING, NJ 08638
(732) 744-4262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00440500
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00440500
NJ
Other
Enumeration date
06/06/2013
Last updated
07/07/2020
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