Individual
FRANCIS MORIE BONGAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN, NP-C
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
(973) 676-1396
Mailing address
20 COOLIDGE ST, IRVINGTON, NJ 07111-1108
(862) 849-2854
(862) 849-2854
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00230300
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00132000
NJ
Other
Enumeration date
05/01/2009
Last updated
05/14/2019
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