Dr Laura J Bonaker, MD | |
22 N Franklin Blvd, 1st Floor, Pleasantville, NJ 08232-2547 | |
(609) 272-9040 | |
(609) 272-9055 |
Full Name | Dr Laura J Bonaker |
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Gender | Female |
Speciality | Pediatrics |
Location | 22 N Franklin Blvd, Pleasantville, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528078797 | NPI | - | NPPES |
2300001 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA03906000 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Entity Name | New Jersey Medical And Health Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558673582 PECOS PAC ID: 9133300791 Enrollment ID: O20110302000334 |
Mailing Address | Practice Location Address |
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Dr Laura J Bonaker, MD 22 N Franklin Blvd, 2nd Floor, Pleasantville, NJ 08232-2547 Ph: (609) 272-0655 | Dr Laura J Bonaker, MD 22 N Franklin Blvd, 1st Floor, Pleasantville, NJ 08232-2547 Ph: (609) 272-9040 |
Dr. Enza P Caputo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 N Franklin Blvd, 1st Floor, Pleasantville, NJ 08232 Phone: 609-272-9040 Fax: 609-272-9055 | |
Katherine S. Yon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 932 S Main St, Pleasantville, NJ 08232 Phone: 609-383-0880 Fax: 609-383-0658 |