Individual
MR. MICHAEL BUONOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
622-624 VALLEY RD, MONTCLAIR, NJ 07043-1462
(732) 674-9857
Mailing address
622 VALLEY RD, MONTCLAIR, NJ 07043-1470
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00833100
NJ
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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