Individual
MR. IRA BOLOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
455 BROADWAY, BAYONNE, NJ 07002-7112
(201) 339-1992
(201) 858-1714
Mailing address
455 BROADWAY, BAYONNE, NJ 07002-7112
(201) 339-1992
(201) 858-1714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01187100
NJ
Other
Enumeration date
02/21/2010
Last updated
02/21/2010
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