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NPI Code Detail

MEDICARE: DR. RUTA BONDARENKO DNP, NP-C

MEDICARE: DR. RUTA BONDARENKO DNP, NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner26NJ00405900NJ
2363LA2200XAdult Health Nurse PractitionerF308702-1NY
3363L00000XNurse Practitioner26NJ00405900NJ

General Provider Information

NPI Number : 1639414436
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUTA BONDARENKO DNP, NP-C
Provider Business Mailing Address
First Line : 300 POMPTON RD
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2103
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 POMPTON RD
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2103
Country : US
Telephone Number : 973-720-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2012
Last Update Date : 02/11/2021

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