Individual
DR. CHARLES F BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
357 MIDLAND AVE, GARFIELD, NJ 07026-1654
(973) 546-4400
(973) 546-5459
Mailing address
357 MIDLAND AVE, GARFIELD, NJ 07026-1654
(973) 546-4400
(973) 546-5459
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC03621
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-3570988
TAX ID
NJ
Enumeration date
12/28/2006
Last updated
01/07/2013
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