Bonomini, Luigi Vittorio

Bonomini, Luigi Vittorio is an individual health care provider with primary practice located at 767 Northfield Ave , West Orange NJ 07052-1194. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Bonomini, Luigi Vittorio can be contacted via phone (973) 419-0417.

Contact Information

Primary practice address
767 Northfield Ave West Orange NJ 07052-1194
Phone: (973) 419-0417
Fax: (862) 766-5904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA064708000 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1932-29 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA06470800 New Jersey
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 1932-29 New York

Profile Details

NPI number 1992771349
LBN Legal business name Bonomini, Luigi Vittorio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2006
Last updated Aug 21st, 2013 - about 13 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 1992771349 NPPES
New Jersey MEDICAID 7551401

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