Individual provider · Type 1 NPI

Lisa Bodollo

Student in an Organized Health Care Education/Training Program · Teaneck, NJ

NPI number 1740111913 Active

Practice location

310 Cedar Ln
Teaneck, NJ 07666-3441

Call (201) 541-8600 Map

Mailing address

27 Orchard Rd
Maplewood, NJ 07040-1919

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9 other providers at this address

Other student in an organized health care education/training program providers in Teaneck

See all in Teaneck →

About NPI 1740111913

Lisa Bodollo's National Provider Identifier is 1740111913, issued on May 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Teaneck, NJ. The record was last updated on May 27, 2026.