ILIJA BUBALO

JERSEY CITY, NJ
NPI1386364594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence:   40QA02117200)
Enumeration Date2022-08-29
Last Update Date2022-08-29
Business Address
ILIJA BUBALO PT, DPT
201 MARIN BLVD
JERSEY CITY, NJ 07302-6491
Phone number: 551-313-7300
Mailing Address
ILIJA BUBALO PT, DPT
605 MAIN ST
HACKENSACK, NJ 07601-5914
Phone number: 201-488-0488
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