Individual
ANNETTE BONCZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.P.T.
Contact information
Practice address
2300 NEW RD, NORTHFIELD, NJ 08225-1466
(609) 204-4849
(609) 383-8340
Mailing address
2300 NEW RD, NORTHFIELD, NJ 08225-1466
(609) 204-4849
(609) 383-8340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00696500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00696500
STATE LICENSE
NJ
Enumeration date
09/02/2010
Last updated
10/23/2024
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