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Dr. Paul Joseph Bologna, DC

Chiropractor in San Mateo, CA. Individual provider (NPI-1).

NPI number1649403239
StatusActive
Last updated in NPPESAug 28, 2009

Details

NPI
1649403239
Entity type
Individual (NPI-1)
Name
Dr. Paul Joseph Bologna
Credential
DC
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 28, 2009
Last updated
Aug 28, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor22290CAYes

Practice location

2041 Pioneer Ct
Suite 203
San Mateo, CA 94403-1786

Phone 650-344-3495

Mailing address

1924 Hillman Ave
Belmont, CA 94002-1740

Phone 650-344-3495

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