Individual
CHARINA BANTUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
129 NEWARK AVE, JERSEY CITY, NJ 07302-2811
(201) 451-8867
(551) 310-6722
Mailing address
10 SUBURBIA CT, JERSEY CITY, NJ 07305-1226
(201) 936-6948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00919800
NJ
363LF0000X
Family Nurse Practitioner
F345203-01
NY
Other
Enumeration date
06/18/2020
Last updated
12/22/2021
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