BEN JAY BAUTISTA

JERSEY CITY, NJ
NPI1427728864
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: NJ  26NJ01186000)
Enumeration Date2021-09-16
Last Update Date2021-09-16
Business Address
BEN JAY BAUTISTA
355 GRAND ST
JERSEY CITY, NJ 07302-4321
Phone number: 201-915-2000
Mailing Address
BEN JAY BAUTISTA
76 GRIECO DR
JERSEY CITY, NJ 07305-4898
Phone number: 201-467-6970
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