Ben Jay Bautista
Acute Care Nurse Practitioner in Jersey City, NJ(View on Map)
Full Name
Ben Jay Bautista
NPI Number
1427728864
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/16/2021
Specialties
(Taxonomies)Licenses
State
New Jersey
License Number
26NJ01186000
Contact
Information
Purpose
Mailing
Location
Address
76 GRIECO DR
355 GRAND ST
City
Jersey City
Jersey City
State
NJ
NJ
Postal Code
07305-4898
07302-4321
Country
US
US
Telephone Number
(201) 467-6970
(201) 915-2000
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/16/2021
Provider Address
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