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Individual

BARBARA L BUONACORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, CDE

Contact information

Practice address
35 BROAD ST, KEYPORT, NJ 07735-1267
(732) 888-4155
Mailing address
35 BROAD ST, KEYPORT, NJ 07735-1267
(732) 888-4155

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
708475
133V00000X
Registered Dietitian
Primary
708475

Other

Enumeration date
05/08/2007
Last updated
03/17/2018
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