Bonfanti, Caroline Marie

Bonfanti, Caroline Marie is an individual health care provider with primary practice located at 24 Winnipeg Ln , Lawrence NJ 08648-4119. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bonfanti, Caroline Marie can be contacted via phone (609) 334-8096.

Contact Information

Primary practice address
24 Winnipeg Ln Lawrence NJ 08648-4119
Phone: (609) 334-8096
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X F401818-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00456300 New Jersey

Profile Details

NPI number 1619308731
LBN Legal business name Bonfanti, Caroline Marie
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2013
Last updated Jan 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619308731 NPPES
New York MEDICAID 01420800

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