Individual
BONNIE SIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 322-7302
(973) 322-7435
Mailing address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 322-7302
(973) 322-7435
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MA07823100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065811
—
NJ
Enumeration date
07/07/2005
Last updated
04/23/2008
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