Individual
DR. BONNEY D. CAI-LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
209 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-4044
(973) 992-8189
Mailing address
209 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-4044
(973) 992-8189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA72322
NJ
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
MA72322
NJ
208000000X
Pediatrics Physician
Primary
MA72322
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8926603
—
NJ
Enumeration date
05/30/2006
Last updated
10/25/2017
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