Individual
BRUCE BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 WILOW GROVE AVENUE, HACKETTSTOWN REGIONAL MED. CTR. -EMERGENCY DEPT, HACKETTSTOWN, NJ 07849
(908) 856-6800
Mailing address
1007 OCEAN AVE, BELMAR, NJ 07719-2328
(732) 556-6957
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA04728000
NJ
Other
Enumeration date
06/14/2006
Last updated
08/02/2013
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