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Individual

MS. JENNA L. BIDOGLIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1 MOUNT VERNON AVE, APARTMENT 2, BLOOMFIELD, NJ 07003-3992
(845) 649-8885
Mailing address
1 MOUNT VERNON AVE, APARTMENT 2, BLOOMFIELD, NJ 07003-3992
(845) 649-8885

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00165300
NJ
2255A2300X
Athletic Trainer
RT004918
PA

Other

Enumeration date
01/20/2014
Last updated
01/20/2014
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