Arlene Bonapace | |
764 Easton Ave Suite 2 Somerset NJ 08873-1856 | |
(732) 418-1122 | |
(732) 937-8081 |
Full Name | Arlene Bonapace |
---|---|
Speciality | Psychologist |
Location | 764 Easton Ave, Somerset, New Jersey |
Authorized Official Name and Position | Arlene Bonapace (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7324181122 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Arlene Bonapace 764 Easton Ave Suite 2 Somerset NJ 08873-1856 Ph: (732) 418-1122 | Arlene Bonapace 764 Easton Ave Suite 2 Somerset NJ 08873-1856 Ph: (732) 418-1122 |
NPI Number | 1205033560 |
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Provider Enumeration Date | 06/29/2007 |
Last Update Date | 12/06/2007 |
Medicare PECOS PAC ID | 2163519257 |
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Medicare Enrollment ID | O20071107000029 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205033560 | NPI | - | NPPES |
1619002094 | Other | NJ | INDIVIDUAL NPI # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 35SI00312000 (New Jersey) | Primary |
Provider Name | Arlene Bonapace |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1619002094 PECOS PAC ID: 7012961626 Enrollment ID: I20050308000039 |
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