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Organization
WOODBURY MEDICAL OFFICE PA
Active
Organization
WOODBURY MEDICAL OFFICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY W BONETT M.D. (PHYSICIAN)
(856) 848-8081
Entity
Organization
Contact information
Practice address
50 COOPER ST, WOODBURY, NJ 08096-4618
(856) 848-8081
(856) 848-1577
Mailing address
50 COOPER ST, WOODBURY, NJ 08096-4618
(856) 848-8081
(856) 848-1577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA054063
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010148
AETNA GROUP NUMBER
NJ
01
—
0766671001
AMERIHEALTH GROUP NUMBER
NJ
05
—
2600307
—
NJ
Enumeration date
05/17/2006
Last updated
05/03/2017
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