Individual
CHARO BALAGTAS BODIONGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 E MADISON AVE, CLIFTON, NJ 07011-2323
(973) 931-1717
Mailing address
109 BIRCH ST, BLOOMFIELD, NJ 07003-4017
(973) 652-8959
(973) 582-9288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00960400
NJ
Other
Enumeration date
05/12/2006
Last updated
07/18/2019
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