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Individual

DR. SAVITHRI B BONALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M D

Contact information

Practice address
18 N 3RD AVE, HIGHLAND PARK, NJ 08904-2408
(732) 545-0094
(732) 545-4087
Mailing address
18 N 3RD AVE, HIGHLAND PARK, NJ 08904-2408
(732) 545-0094
(732) 545-4087

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA073362000
NJ
207KA0200X
Allergy Physician
ME79314
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0071684
NJ
01
0150142000
AMERIHEALTH
NJ
01
1603R1
EMPIRE BCBS
NJ
01
1605318
CIGNA
NJ
01
2099742
GHI
NJ
01
236325
AMERIGROUP
NJ
01
2421092
UNITED HEALTHCARE
NJ
01
2K7611
HEALTHNET
NJ
01
38150
UNIVERSITY HEALTH PLAN
NJ
01
60006198
HORIZON NJ HEALTH
NJ
01
7366552
AETNA
NJ
05
8828709
NJ
01
91001540100
AMERICHOICE
NJ
01
P3239782
OXFORD
NJ
Enumeration date
12/08/2005
Last updated
12/16/2016
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