Individual
DEBORAH BONOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 BLOOMFIELD RD, MANALAPAN, NJ 07726-7907
(732) 526-7253
Mailing address
43 BLOOMFIELD RD, MANALAPAN, NJ 07726-7907
(732) 526-7253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00489800
NJ
Other
Enumeration date
03/23/2014
Last updated
03/23/2014
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