Individual
SAMANTHA LOUISE BONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1200 EAGLE AVE, OCEAN, NJ 07712-7631
(732) 660-6200
Mailing address
17 CLOVER HILL LN, COLTS NECK, NJ 07722-1004
(908) 839-5638
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00639500
NJ
Other
Enumeration date
09/07/2021
Last updated
07/16/2024
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