Provider Demographics
NPI:1922639624
Name:BIVONA, FRANCESCA (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:FRANCESCA
Middle Name:
Last Name:BIVONA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 TULIP TREE LN # 260
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:NJ
Mailing Address - Zip Code:07620-1228
Mailing Address - Country:US
Mailing Address - Phone:862-207-9660
Mailing Address - Fax:
Practice Address - Street 1:559 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-1746
Practice Address - Country:US
Practice Address - Phone:973-235-0909
Practice Address - Fax:973-661-0030
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04079200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist