Individual
BONITA D GILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
76 STIRLING RD, STE 201, WARREN, NJ 07059-5751
(908) 755-5437
(908) 755-6905
Mailing address
76 STIRLING RD, STE 201, WARREN, NJ 07059-5751
(908) 755-5437
(908) 755-6905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06487000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2319999000
AMERIHEALTH HMO PIN
NJ
01
—
2355128
AETNA HMO
NJ
01
—
25384
UNIVERSITY HEALTH PLAN
NJ
01
—
5572016011
CIGNA
NJ
01
—
7963143
AETNA PPO
NJ
01
—
K5537
BCBS NJ HMO
NJ
01
—
P2173649
OXFORD
NJ
Enumeration date
04/14/2006
Last updated
07/08/2007
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