Bonaker, Laura J

Bonaker, Laura J is an individual health care provider with primary practice located at 22 N Franklin Blvd 1St Floor, Pleasantville NJ 08232-2547. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bonaker, Laura J can be contacted via phone (609) 272-9040.

Contact Information

Primary practice address
22 N Franklin Blvd 1St Floor Pleasantville NJ 08232-2547
Phone: (609) 272-9040
Fax: (609) 272-9055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA03906000 New Jersey

Profile Details

NPI number 1528078797
LBN Legal business name Bonaker, Laura J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Nov 1st, 2011 - about 15 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 1528078797 NPPES
New Jersey MEDICAID 2300001

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