Individual
DR. ANTHONY JAKE BONIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 PRINCETON AVE, PRINCETON, NJ 08540-1617
(609) 924-8131
Mailing address
325 PRINCETON AVE, PRINCETON, NJ 08540-1617
(609) 924-8131
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA10987700
NJ
207X00000X
Orthopaedic Surgery Physician
MT209693
PA
Other
Enumeration date
06/15/2015
Last updated
07/08/2021
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