Bonilla, Mary Ann
Bonilla, Mary Ann is an individual health care provider with primary practice located at 703 Main St St. Joseph'S Regional Medical Center, Paterson NJ 07503-2621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Bonilla, Mary Ann can be contacted via phone (973) 754-2000.Contact Information
Primary practice address
703 Main St St. Joseph'S Regional Medical Center
Paterson NJ 07503-2621
Phone: (973) 754-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 25MA06328600 | New Jersey |
Profile Details
| NPI number | 1316999154 |
|---|---|
| LBN Legal business name | Bonilla, Mary Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 8th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316999154 | NPPES |
| New Jersey | MEDICAID | 7243405 |
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