Individual
MRS. RENEE BOLOGNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
255 3RD AVE, LONG BRANCH, NJ 07740-6214
(732) 222-7006
Mailing address
36 CAPSTAN RD, WARETOWN, NJ 08758-1619
(609) 693-6015
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
26NN07235200
NJ
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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