Bonilla, Melissa
Bonilla, Melissa is an individual health care provider with primary practice located at 60 West Main Street , Freehold NJ 07728. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bonilla, Melissa can be contacted via phone (732) 409-3633.Contact Information
Primary practice address
60 West Main Street
Freehold NJ 07728
Phone: (732) 409-3633
Fax: (732) 409-7133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 233173 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA08165700 | New Jersey |
Profile Details
| NPI number | 1922106087 |
|---|---|
| LBN Legal business name | Bonilla, Melissa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jan 13th, 2011 - about 14 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 | 1922106087 | NPPES |
| New Jersey | MEDICAID | 0120995 |
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