Individual
JONATHAN LOMONICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
700 ROUTE 46 E STE 420, FAIRFIELD, NJ 07004-1532
(973) 882-3456
Mailing address
3417 HIGH ST, BLACKWOOD, NJ 08012-5312
(609) 405-0447
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246ZE0600X
—
NJ
Enumeration date
01/12/2021
Last updated
01/12/2021
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