Individual
MARY ANN BONOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 567-0500
Mailing address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 567-0500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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