KAITLIN M BOURDEAU

BLOOMFIELD, NJ
NPI1780236489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence:   25MP00528000)
Enumeration Date2019-07-12
Last Update Date2019-07-18
Business Address
KAITLIN M BOURDEAU PA
1255 BROAD ST STE 201A
BLOOMFIELD, NJ 07003-3061
Phone number: 973-842-2100
Mailing Address
KAITLIN M BOURDEAU PA
135 BRAKESHOE PL
MAHWAH, NJ 07430-1102
Phone number: 551-804-7432
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