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Organization

ARLENE BONAPACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARLENE BONAPACE PSYD (CLINICAL PSYCHOLOGIST)
(732) 418-1122
Entity
Organization

Contact information

Practice address
764 EASTON AVE, SUITE 2, SOMERSET, NJ 08873-1856
(732) 418-1122
(732) 937-8081
Mailing address
764 EASTON AVE, SUITE 2, SOMERSET, NJ 08873-1856
(732) 418-1122
(732) 937-8081

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00312000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1619002094
INDIVIDUAL NPI #
NJ
Enumeration date
06/29/2007
Last updated
12/06/2007
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