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Shane Bolger
Electroneurodiagnostic Specialist/Technologist in Riverdale, New Jersey
NPI 1851869937

Shane Bolger is a Electroneurodiagnostic Specialist/Technologist based in Riverdale, NJ and is specialized in Electroneurodiagnostic. Shane Bolger practices in Riverdale, NJ. The NPI Number for Shane Bolger is 1851869937 and holds a License No. (New Jersey).

The current practice location address for Shane Bolger is 5406 Sanctuary Blvd, Riverdale, NJ and can be reached out via phone at 215-880-1834.

Location: 5406 Sanctuary Blvd, Riverdale, NJ, 07457-1656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851869937
Provider Name
Shane Bolger
Credential
Provider Entity Type
Individual
Gender
Male
Address
5406 Sanctuary Blvd, Riverdale, NJ, 07457-1656
Phone Number
215-880-1834
Fax Number
Provider Enumeration Date
11/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5406 Sanctuary Blvd
City
Riverdale
State
New Jersey
Zip
07457-1656
Phone Number
215-880-1834
Fax Number
person
Provider Business Mailing Address Details
Address
5406 Sanctuary Blvd
City
Riverdale
State
New Jersey
Zip
07457-1656
Phone Number
215-880-1834
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
246ZE0600X
License No.
()
Definition
Definition to come...
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