Individual
ANTHONY W BONETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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 USHC
NJ
01
—
010002384
AMERICHOICE ID#
NJ
01
—
0540350000
AMERIHEALTH ID NUMBER
NJ
01
—
080038612
RAILROAD MEDICARE ID#
NJ
01
—
1013769
HORIZON MERCY ID#
NJ
01
—
221890307
HORIZON BC/BS
NJ
05
—
4516702
—
NJ
Enumeration date
08/09/2005
Last updated
05/03/2017
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